
| Regimental number | 4917 |
| Place of birth | Antwerp, Belgium |
| Religion | Roman Catholic |
| Occupation | Fireman |
| Address | 146 Crown Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs. M. Wouters, 62 Erten Street, Antwerp, Belgium |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star of England on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Died of wounds |
| Age at death from cemetery records | 31 |
| Place of burial | Dartmoor Cemetery (Plot I, Row A, Grave No. 6), Becordel-Becourt, France |
| Panel number, Roll of Honour, Australian War Memorial | 160 |
| Miscellaneous information from cemetery records | Parents: John B. and A.M.L. WOUTERS, of 56 Rue des Pois, Antwerp, Belgium |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |