| Regimental number | 6638 |
| Religion | Church of England |
| Occupation | Weighman |
| Address | Haberfield, New South Wales |
| Marital status | Married |
| Age at embarkation | 19 |
| Next of kin | Wife, Mrs K Van Hemelryck, 27 Dalhousie Street, Haberfield, New South Wales |
| Enlistment date | 5 April 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia 10 December 1918 |
