| Regimental number | 28 |
| Religion | Methodist |
| Occupation | Shorthand writer |
| Address | 46 Castlereagh Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | mother,, Mrs Eliza Van Brakkel, 15 Roslyn Gardens, Elizabeth Bay, Sydney, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Sapper |
| Unit name | Mining Corps Headquarters |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on |
| Regimental number from Nominal Roll | 628 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 2nd Tunnelling Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
