| Regimental number | 436 |
| Place of birth | Cheltenham, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Cheltenham, Victoria |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs John Fisher VAN DER VEEN, Cheltenham, Victoria |
| Enlistment date | |
| Place of enlistment | Ripponlea, Victoria |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, C Company |
| AWM Embarkation Roll number | 23/22/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A3 Orvieto on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Miscellaneous details | True name: John Fisher VAN DER VEEN |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
