| Regimental number | 4822 |
| Place of birth | Antwerp Belgium |
| Religion | Roman Catholic |
| Occupation | Fireman |
| Address | 57 Cooper Street, surry Hills, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Friend, Edward Rollens, 57 Cooper Street, Surry Hills, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
