| Regimental number | 2405 |
| Place of birth | Vejle Finland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Adelaide, SA |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, A Nielsen, Veile, Denmark |
| Enlistment date | 9 May 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Pioneer Battalion, Reinforcement 4 |
| AWM Embarkation Roll number | 14/17/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A55 Itria on 14 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Pioneer Battalion |
| Fate | Effective abroad (still overseas) |
