| Regimental number | 4573 |
| Place of birth | Charleville Queensland |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Lake Clarendon, via Gatton, Queensland |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs. Mary Dixie Nielsen, Lake Clarendon, via Gatton, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/48/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 52nd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
