| Regimental number | 4195 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 2 Bunn Street, Pyrmont, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, F Olsen, 2 Bunn Street, Pyrmont, Sydney, New South Wales |
| Enlistment date | 10 December 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 2 March 1919 |