| Regimental number | 1348 |
| Place of birth | Rotterdam Holland |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | c/o Mrs. Ethel Minnie Kinnear, Commercial Road, Hyde Park, South Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs. Lieutje Potgort, Rotterdam, Holland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 10th Reinforcement |
| AWM Embarkation Roll number | 10/8/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Stirling Bridgewater Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
