| Regimental number | 112 |
| Place of birth | Lismore New South Wales |
| Religion | Church of England |
| Occupation | Wool presser |
| Address | North Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, John Muller Neilsen, North Lismore, New South Wales |
| Enlistment date | 16 December 1915 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 11 |
| AWM Embarkation Roll number | 24/16/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 5 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Machine Gun Company |
| Fate | Returned to Australia 8 April 1917 |
