| Regimental number | 2887 |
| Religion | Lutheran |
| Occupation | Labourer |
| Address | c/o W Chalmers, Tamworth, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs K Neilsen, Klostergate Street, Fadberg, Denmark |
| Enlistment date | 18 July 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/30/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 30 September 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
