| Religion | Church of England |
| Occupation | Factory manager |
| Address | East St Kilda, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Ethel Van Assche, Alma Road, East St Kilda, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 39th Battalion, D Company |
| AWM Embarkation Roll number | 23/56/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | 39th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
