Regimental number5004
Place of birthRotterdam Holland
ReligionChurch of England
Address'Koorawatha', 8 Ramsey Road, Haberfield, New South Wales
Marital statusSingle
Age at embarkation28
Next of kinMother, Mrs Meulen, Massan Street, Brida, Holland
Enlistment date18 May 1915
Rank on enlistmentPrivate
Unit nameAustralian Army Medical Corps, Hospital Transports Staff (No. 1 Hospital Ship, 'Karoola')
Embarkation detailsUnit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 14 July 1915
Rank from Nominal RollDriver
Unit from Nominal RollNo 10 Company, Australian Army Service Corps
FateReturned to Australia 23 June 1919
Date of death27 November 1940