| Regimental number | 2708 |
| Religion | Presbyterian |
| Occupation | Shire Council employee |
| Address | The Channon, Richmond River, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Jane Neilsen, The Channon, Richmond River, New South Wales |
| Enlistment date | 7 August 1916 |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |