| Regimental number | 3207 |
| Religion | Baptist |
| Occupation | Carpenter |
| Address | 66 Russell Street, Chilwell, Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs C Nielson, 66 Russell Street, Chilwell, Geelong, Victoria |
| Enlistment date | 15 July 1915 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/41/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A73 Commonwealth on 26 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
