| Regimental number | 757 |
| Place of birth | Haarlem, Netherlands |
| Religion | Protestant |
| Occupation | Blacksmith's stricker |
| Address | 111 Young Street, Parkside, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Friend, Mrs Merrin, 111 Young Street, Parkside, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, D Company |
| AWM Embarkation Roll number | 23/44/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A2 Geelong on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Other details from Roll of Honour Circular | Enlisted 15/2/15. Taken on strength, 2nd Bn, 6/4/15. Wounded at Pozieres, France, 5/8/16. Mortally wounded, 29/8/18. |
| Fate | Died of wounds |
| Place of death or wounding | Somme Sector, France |
| Date of death | |
| Age at death | 26 |
| Place of burial | Sever Cemetery Extension (Plot II, Row O, Grave No.14), Rouen, France |
| Panel number, Roll of Honour, Australian War Memorial | 109 |