| Regimental number | 12613 |
| Occupation | Farm labourer |
| Next of kin | Father, L. Larsen, Otewa, Otorohanga |
| Rank on embarkation | Trooper |
| Unit name | New Zealand Expeditionary Force, 12th Reinforcements (2nd Draft), New Zealand Mounted Rifles Brigade |
| Embarkation details | Unit embarked from Wellington on |
| Sources | Nominal Roll Vol. 2: Roll 31, p. 2 |