| Regimental number | 3435 |
| Place of birth | Antwerp Belgium |
| Religion | Church of England |
| Occupation | Sailmaker |
| Address | North Ipswich, Queensland |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Maria Daw Thys, North Ipswich, Queensland |
| Enlistment date | 2 January 1917 |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion 9th Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A33 Ayrshire on 24 January 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
