
| Regimental number | 78 |
| Place of birth | Musk Creek Victoria |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Blackwood Forest via Almurta, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Reuben Thomas Koetsveld, Blackwood Forest via Almurta, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 10 |
| AWM Embarkation Roll number | 24/15/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Machine Gun Company |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Date of death |