| Regimental number | 17675 |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Margaret Van Heythuysen, 'Le Oroha', 305 Addison Road, Marrickville, sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | 1st Field Squadron Engineers, March 1917 Reinforcements |
| AWM Embarkation Roll number | 14/36/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Field Squadron Engineers |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
