| Regimental number | 14610 |
| Place of birth | S'Gravensarde Holland |
| Religion | Church of England |
| Occupation | Bedsteadmaker |
| Address | Norwood, South Australia |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs A Hofman, 9 Bevis Street, North Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Army Medical Corps, July 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A53 Itria on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Field Ambulance |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | *William spelt Willem |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
