| Regimental number | 3216 |
| Religion | Church of England |
| Occupation | Boilermaker |
| Address | Queen's Road, Guildford, Western Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, William Neilsen, Queen's Road, Guildford, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/45/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A7 Medic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
