| Regimental number | 2414 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 'Ennis Killen', Constitution Road, Dulwich Hill, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs. Maria Neilsen, 'Ennis Killen,' Constitution Road, Dulwich Hill, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 16th Reinforcement |
| AWM Embarkation Roll number | 10/11/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A1 Hymettus on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Light Horse Brigade Machine Gun Squadron |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
