| Regimental number | 1371 |
| Place of birth | Randers Denmark |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Halbury, South Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, Karl Larsen, Randers, Yllands, Denmark |
| Enlistment date | 26 November 1914 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/27/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Macgillivray on 2 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 5 July 1915 |