| Regimental number | 64112 |
| Occupation | Labourer |
| Next of kin | Mother, Mrs Annie Amelia Nielsen, Conway Road, Eltham |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 32nd Reinforcements, Wellington Infantry Regiment, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 95 Willochra on |
| Sources | Nominal Roll Vol. 3: Roll 75, p. 30 |