| Regimental number | 2639 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Brickmaker |
| Address | Albany, Western Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Sophia Bevan, Kings Road, Albany, Western Australia |
| Enlistment date | 7 March 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 18th Reinforcement |
| AWM Embarkation Roll number | 10/15/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS Morea on 6 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Imperial Camel Brigade |
| Fate | Returned to Australia 12 November 1917 |
