| Regimental number | 28791 |
| Occupation | Seaman |
| Next of kin | Wife, Mrs Eliza Poulsen, Cardwell Street, Onehunga |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 18th Reinforcements, Auckland Infantry Battalion, A Company |
| Embarkation details | Unit embarked from Wellington on board Tofua on |
| Final rank | Private |
| Final unit | 2nd Battalion, Auckland Infantry Regiment |
| Fate | Killed in Action |
| Age at death from cemetery records | 32 |
| Place of burial | Bethleem Farm West Cemetery (Row C, Grave No 23), nr Ieper, Belgium |
| Miscellaneous information from cemetery records | Parents: the late Lauritz and Mary Poulsen, Auckland |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Sources | Nominal Roll Vol. 2: Roll 43, p. 5 |