| Regimental number | 14362 |
| Place of birth | Omne Denmark |
| Religion | Presbyterian |
| Occupation | Sailor |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs A C Nielsen, Nord Verjrup, P'Gjerding Station, Jutland, Denmark |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | May 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Died of wounds |
| Date of death | |
| Place of burial | The Huts Cemetery, Dickesbusch, Belgium |
| Panel number, Roll of Honour, Australian War Memorial | 183 |
| Miscellaneous information from cemetery records | Native of Denmark |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
