| Regimental number | 629 |
| Religion | Church of England |
| Occupation | Fisherman |
| Address | Geraldton, Western Australia |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Neeltje Appel Devries, Alkmaar, Holland |
| Enlistment date | 22 January 1916 |
| Date of enlistment from Nominal Roll | 24 January 1916 |
| Rank on enlistment | Private |
| Unit name | 44th Battalion, C Company |
| AWM Embarkation Roll number | 23/61/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A29 Suevic on 6 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 44th Battalion |
| Fate | Returned to Australia 9 December 1918 |