| Regimental number | 66662 |
| Place of birth | Broken Hill New South Wales |
| Religion | Church of England |
| Occupation | Railway cleaner |
| Address | Clinton Street, Goulburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, R W J Bevan, Brown Street, Armidale, New South Wales |
| Previous military service | 11th Australian Army Medical Corps |
| Enlistment date | 16 July 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 22 |
| AWM Embarkation Roll number | 23/111/6 |
| 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 |