| Regimental number | 14357 |
| Place of birth | Copenhagen, Denmark |
| Religion | CD |
| Occupation | Waiter |
| Address | Summer Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, H S Neilsen, Hotel Eriso, Frederiksvark, Denmark |
| Enlistment date | |
| Place of enlistment | Holsworthy, New South Wales |
| Rank on enlistment | Private |
| Unit name | May 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A37 Barambah on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Discharged |
| Date of death | |
| Place of burial | Botany Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
