| Regimental number | 20424 |
| Place of birth | Monster Holland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Adriana Pakvis, Barn Street, No. 27 Loosdinsen, Zuid, Holland |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Field Company Engineers, September 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 40th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
