| Regimental number | 61183 |
| Place of birth | South Melbourne Victoria |
| Religion | Methodist |
| Occupation | Fruiterer |
| Address | 14 Kerferd Place, Albert Park, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs E Larsen, 14 Kerferd Place, Albert Park, Victoria |
| Enlistment date | 27 May 1918 |
| Rank on enlistment | Private |
| Unit name | 10th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah on 31 August 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Motor Transport Company |
| Fate | Effective abroad (still overseas) |
