| Regimental number | 67445 |
| Place of birth | Meersen Holland |
| Religion | Roman Catholic |
| Occupation | Cook |
| Address | Arcade Street, Katoomba, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs M Neus, Glermont Plain No 2, Provine Limburg, Nederlanden, Holland |
| Enlistment date | 1 September 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 25 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
