| Regimental number | 7419 |
| Place of birth | Skien Norway |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Bruce Rock, Western Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, A Nilsen, Bagers Street, Gati Dustin, Skiln, Norway |
| Enlistment date | 8 November 1917 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/45/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS Ormonde on 13 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 24 September 1919 |
