| Regimental number | 21261 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Kingaroy, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs E Olsen, Kingaroy, Queensland |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | 9th Field Artillery Brigade, 36th Battery |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |