| Regimental number | 3482 |
| Place of birth | Denmark |
| Religion | Church of England |
| Occupation | Merchant |
| Address | Araluen, Carrington, Newcastle, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs E L Clausen, Carrington, Newcastle, New South Wales |
| Enlistment date | 21 September 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Regimental number from Nominal Roll | 3482A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 12 May 1918 |