| Regimental number | 3618 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | c/o A A Mensies, Brundah Siding via Grenfell, New South Wales |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Sister, Miss Idet Van-Diest, Hulan, Holland |
| Enlistment date | 18 July 1917 |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/70/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A28 Miltiades on 2 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Discharged 2 February 1919 |
