| Regimental number | 12693 |
| Date of birth | |
| Place of birth | Holland |
| School | Holland |
| Religion | Methodist |
| Occupation | Motor driver |
| Address | c/oMrs McGahey, Gawler Terrace, Walkerville, South Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Anna Aris, Stoomweg, Anna Paulowna, Holland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Field Ambulance |
| AWM Embarkation Roll number | 26/54/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A29 Suevic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Motor Transport Company |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Arrived back in Australia, 5 October 1919. Medals: British War Medal, Victory Medal |