| Regimental number | 2365 |
| Place of birth | Narooma New South Wales |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Corunna, South Coast, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Father, George Olsen, Corunna, South Coast, New South Wales |
| Enlistment date | 22 November 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 16th Reinforcement |
| AWM Embarkation Roll number | 10/6/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A25 Anglo Egyptian on 12 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
