| Regimental number | 3901 |
| Place of birth | Holland |
| Occupation | Farmer |
| Address | Gin Gin, Queensland |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Gertrude Stuifbergen, 30 Euscheede Street, Ymmolen, Holland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/43/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Pioneer Battalion |
| Fate | Died of wounds |
| Place of death or wounding | France |
| Age at death | 35 |
| Place of burial | Heilly Station Cemetery (Plot V, Row E, Grave No. 30), Mericourt-L'Abbe, France |
| Panel number, Roll of Honour, Australian War Memorial | 173 |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |