| Regimental number | 39138 |
| Place of birth | Belgium |
| Religion | Roman Catholic |
| Occupation | Blacksmith |
| Address | 183 Wellington Street, Launceston, Tasmania |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Jeanette Cools, Gheel, Belgium |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, Reinforcement 33 |
| AWM Embarkation Roll number | 13/128/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 14th Field Artillery Brigade |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
