| Regimental number | 3866 |
| Place of birth | Gothenberg Sweden |
| Religion | Methodist |
| Occupation | Seaman |
| Address | Port Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs C Larson, Gottenberg, Sweden |
| Enlistment date | 21 July 1917 |
| Rank on enlistment | Private |
| Unit name | 5th Pioneer Battalion, Reinforcement 10 |
| AWM Embarkation Roll number | 14/17/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Division Train |
| Fate | Returned to Australia 22 July 1919 |