| Regimental number | 1034 |
| Place of birth | Galton Queensland |
| Religion | Society of Friends (Quaker) |
| Occupation | Horse-breaker |
| Address | Grantham, Queensland |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs. N. Larsen, Grantham, Queensland. |
| Enlistment date | 8 January 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/7/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A7 Medic on 2 June 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Field Squadron Engineers |
| Fate | Returned to Australia 3 July 1919 |
