| Regimental number | 5504 |
| Place of birth | Melbourne Victoria |
| Religion | Presbyterian |
| Occupation | Pastrycook |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs A Bevan, Model Store, Maitland Street, Narrabri, New South Wales |
| Enlistment date | 25 September 1915 |
| Date of enlistment from Nominal Roll | 11 September 1915 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 1, Reinforcement 11 |
| AWM Embarkation Roll number | 13/29/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Divisional Signal Company |
| Fate | Returned to Australia 28 November 1918 |