| Regimental number | 62502 |
| Place of birth | Belgium |
| Religion | Roman Catholic |
| Occupation | Seaman |
| Address | Port Pirie, South Australia |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs C S Clement, Klaine Weststraat, Blankenbergke, Belgium |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th South Australian Reinforcements |
| AWM Embarkation Roll number | 23/111/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
