| Regimental number | 3820 |
| Place of birth | Ferheiden Holland |
| Religion | Roman Catholic |
| Occupation | Farm hand |
| Address | Moora, Western Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Adriana De Briune, Breda No 56, Holland |
| Enlistment date | 11 December 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 12 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 9 February 1919 |
| Date of death | 24 September 1956 |
| Place of burial | Karrakatta Cemetery |
