| Regimental number | 310 |
| Place of birth | Bendigo, Victoria |
| Religion | Church of England |
| Occupation | Baker |
| Address | Glenreagh, Grafton, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Annie Mirian Visser, 7 Argent Street, South Broken Hill, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, Machine Gun Section |
| AWM Embarkation Roll number | 23/59/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 42nd Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Springvale Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
