| Regimental number | 54719 |
| Place of birth | Sydney New South Wales |
| Religion | Presbyterian |
| Occupation | Mechanic |
| Address | Greenwich, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, G Nissen, Charles Street, Greenwich, Sydney, New South Wales |
| Enlistment date | 13 April 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 8 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on 19 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 18 December 1918 |
