| Regimental number | 2114 |
| Place of birth | Denmark |
| Age on arrival in Australia | 25 |
| Religion | Church of England |
| Occupation | Sailor |
| Address | Moss Vale, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, Karl Karistian Nielsen, Kallingprogaard, Denmark |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 35th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/52/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Other details from Roll of Honour Circular | Died from gas poisoning and broncho-pneumonia. |
| Fate | Died of wounds |
| Place of death or wounding | France |
| Age at death | 31 |
| Age at death from cemetery records | 31 |
| Place of burial | Norwich Cemetery (54. 711), Norfolk |
| Panel number, Roll of Honour, Australian War Memorial | 176 |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
