| Regimental number | 996 |
| Religion | Roman Catholic |
| Occupation | Steel worker |
| Address | c/o Belgian Consul, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, E Van Wouwe, Riyselmomde, East Flanders, Belgium |
| Enlistment date | 24 July 1915 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, D Company |
| AWM Embarkation Roll number | 23/47/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 9 November 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 8th Infantry Brigade Headquarters |
| Fate | Returned to Australia 8 April 1919 |
