| Regimental number | 1906 |
| Place of birth | The Hague Holland |
| Religion | Church of England |
| Occupation | Cook and steward |
| Address | Beach Court, Ocean Beach, Manly, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs Hendricka Schipper, 3 Korte Vejverberg, The Hague, Holland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 36th Battalion |
| Fate | Killed in Action |
| Place of burial | Toronto Avenue Cemetery (Row B, Grave No. 25), Warneton, Belgium |
| Panel number, Roll of Honour, Australian War Memorial | 127 |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
