| Regimental number | 1752 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Address | 308 Brougham Street, Ballarat North, Victoria |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Sister, Sarah Jane Evans, 308 Brougham Street, Ballarat North, Victoria |
| Enlistment date | 27 April 1915 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/39/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on 16 July 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Machine Gun Battalion |
| Fate | Returned to Australia 8 April 1919 |
