| Regimental number | 6042 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Cooks axeman |
| Address | 45 Dowling Street, East Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Elizabeth De Groen, 19 Fawcett Lane, East Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A19 Afric on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
