| Regimental number | 8107 |
| Place of birth | Tylorstown England |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Edith Bevan, 56 Brown Street, Paddington, Sydney, New South Wales |
| Enlistment date | 15 December 1915 |
| Rank on enlistment | Driver |
| Unit name | 6th Field Company Engineers, Reinforcement 6 |
| AWM Embarkation Roll number | 14/25/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on 20 April 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 12th Field Company Engineers |
| Fate | Returned to Australia 12 May 1919 |
