| Regimental number | 5769 |
| Religion | Church of England |
| Occupation | Wireless operator |
| Address | Hawthorn, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, J De Bruyn, Rotterdam, Holland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 14/13/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on |