| Regimental number | 1366 |
| Place of birth | Rotterdam Holland |
| Religion | Roman Catholic |
| Occupation | Mechanical engineer |
| Address | Csr, Macknade, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Maria A Borgman, Sittart, Holland |
| Enlistment date | 12 October 1916 |
| Rank on enlistment | 2nd Air Mechanic |
| Unit name | 2nd Australian Flying Squadron, 4th Reinforcement |
| AWM Embarkation Roll number | 8/5/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 6 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia 12 December 1918 |
