| Regimental number | 4269 |
| Place of birth | Flekkefjord Norway |
| Religion | Lutheran |
| Occupation | Sailor |
| Address | C/o C Nelson, Marine Terrace, Geraldton, Western Australia |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Brother, Mr L Olsen, C/o C Nelson, Marine Terrace, Geraldton, Western Australia |
| Enlistment date | 17 September 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 17 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 17 October 1916 |