| Regimental number | 5118 |
| Religion | Roman Catholic |
| Occupation | Ammunition maker |
| Address | 'Sailors' Home', Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Father, R Hellenbosch, Antwerp, Belgium |
| Enlistment date | 9 February 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 5 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 20 June 1918 |
