| Regimental number | 808 |
| Place of birth | Groningen Holland |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Mundubbera, Queensland |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Father, G Koorenhof Gronigen, Holland |
| Enlistment date | 22 May 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 13, Reinforcement 15 |
| AWM Embarkation Roll number | 24/18/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on 26 November 1917 |
| Regimental number from Nominal Roll | 808A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 3 July 1919 |
