| Regimental number | 3733 |
| Place of birth | Copenhagen Denmark |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | 6 Agnes Terrace, Rainford Street, Surry Hills, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Augusta Neilson Frederickden, 7 Gade, NE 9H, Copenhagen, Denmark |
| Enlistment date | 10 October 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 34th Reinforcement |
| AWM Embarkation Roll number | 10/6/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 19 December 1917 |
| Regimental number from Nominal Roll | 5733 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | Australian Army Service Corps |
| Fate | Returned to Australia 2 August 1919 |
