| Regimental number | 4476 |
| Place of birth | Denmark |
| Religion | Church of England |
| Occupation | Labourer |
| Address | No 1 Foveaux Street, Surry Hills, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, S O Carlsen, Talemark, Mount Husium Station, Copenhagen, Denmark |
| Enlistment date | 30 October 1917 |
| Date of enlistment from Nominal Roll | 31 October 1917 |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Private |
| Unit name | Light Horse, February 1918 Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on 30 April 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Divisional Field Troop & Bridging Train |
| Fate | Returned to Australia 1 August 1919 |
