| Regimental number | 1075 |
| Place of birth | Adelaide South Australia |
| Occupation | Farmer |
| Address | Mount Eccles, via Leongatha, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | M. Nilsen, Mount Eccles, via Leongatha, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/9/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Artillery Brigade |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
| Date of death | |
| Place of burial | Springvale Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
