| Regimental number | 17160 |
| Place of birth | Chewton Victoria |
| Religion | Church of England |
| Occupation | Telegraphist |
| Address | Northcote, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Fritz Lars Otzen, Campbell's Creek, Victoria |
| Previous military service | 55th Infantry |
| Enlistment date | 22 September 1916 |
| Date of enlistment from Nominal Roll | 2 October 1916 |
| Rank on enlistment | Sapper |
| Unit name | Sanitary Section 1, Engineer Reinforcements, Special |
| AWM Embarkation Roll number | 22/17/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A25 Anglo-Egyptian on 31 January 1917 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 1st Signal Sqd Spec Rfts AMD |
| Fate | Returned to Australia 3 July 1919 |