| Regimental number | 2/1638 |
| Address | c/o Mrs E.F. Jeffries, Waikanae |
| Marital status | Single |
| Next of kin | Father, Oscar Larsen, c/o Post Office, Mangapehi |
| Rank on embarkation | Gunner |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 5th Reinforcements, New Zealand Field Artillery |
| Embarkation details | Unit embarked from Wellington on board Maunganui on |
| Miscellaneous details | Nominal Roll Vol. 1: Field Artillery/Fifth |