| Regimental number | 481 |
| Place of birth | Amsterdam HOLLAND |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Helena Elizabeth Geytenbeek, 132 Omrai Amstel, Amsterdam, Holland |
| Enlistment date | 26 August 1915 |
| Rank on enlistment | Sergeant |
| Unit name | 43rd Battalion, C Company |
| AWM Embarkation Roll number | 23/60/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on 9 June 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Returned to Australia 5 July 1919 |