| Regimental number | 254 |
| Place of birth | Wagenborgen Holland |
| Occupation | Miner |
| Address | Silver Age Hotel, Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 36 |
| Enlistment date | 20 August 1914 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, G Company |
| AWM Embarkation Roll number | 23/27/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board Transport A11 Ascanius on 20 October 1914 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 20 October 1918 |
