| Regimental number | 763 |
| Religion | Church of England |
| Occupation | Sailor |
| Address | 38 Donnelly Street, Balmain, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Brother, C Van-Dyk, Loam-Van Beck and Rooyen, Zeist, Holland |
| Enlistment date | 28 August 1916 |
| Rank on enlistment | Private |
| Unit name | Anzac Cyclist Battalion, Reinforcement 7 |
| AWM Embarkation Roll number | 12/1/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 2 January 1919 |
