| Regimental number | 3073 |
| Place of birth | Bairnsdale, Victoria |
| Religion | Church of England |
| Occupation | Shop assistant |
| Address | Bairnsdale, Victoria |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs Jane Dahlsen, 10 Ackland Street, St Kilda, Victoria |
| Enlistment date | 7 August 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 23rd Reinforcement |
| AWM Embarkation Roll number | 10/13/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A25 Anglo-Egyptian on 31 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Light Horse Regiment |
| Fate | Returned to Australia 12 November 1917 |
