| Regimental number | 7777 |
| Place of birth | Soborg Denmark |
| Religion | Protestant |
| Occupation | Machinist |
| Address | Gormanston, Tasmania |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Father, I Olsen, Soborg, Copenhagen, Denmark |
| Enlistment date | 15 May 1917 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 26th Reinforcement |
| AWM Embarkation Roll number | 23/29/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 4 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Discharged 9 April 1919 |