| Regimental number | 14862 |
| Place of birth | Bathulie South Africa |
| Religion | Dutch Reformed Church |
| Occupation | Pianist |
| Address | St Kilda, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Friend, Miss P Ashley, 47 Ackland Street St Kilda, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A49 Seang Choon on |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |