| Regimental number | 1468 |
| Place of birth | Bendigo, Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Address | c/o Mrs Wigmore, Bramble Street, Bendigo, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, A J Eva, Long Gully, Bendigo, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/9/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A56 Palermo on |