| Regimental number | 58288 |
| Place of birth | Newcastle New South Wales |
| Religion | Congregational |
| Occupation | Farmer |
| Address | Casino, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, T Bevan, McKees Hill, Casino, New South Wales |
| Enlistment date | 8 June 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 7 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Fate | No details of fate entered on Nominal Roll |