| Regimental number | 4419 |
| Place of birth | Amsterdam Holland |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | c/o Mr Hill, Weld Street, Northam, Western Australia |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Father, H G Kacks, Charles Street, Amsterdam, Holland |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 2nd Pioneer Battalion, Reinforcement 12 |
| AWM Embarkation Roll number | 14/14/6 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
