| Regimental number | 19485 |
| Place of birth | Leveberg Belgium |
| Religion | Roman Catholic |
| Occupation | Masseur |
| Address | Redfern, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs V V Nevel, 172 Kirkstroab, Gentbrugge, Ghent, Belgium |
| Enlistment date | 21 August 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, October 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 1 May 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Discharged 23 August 1919 |
