
| Regimental number | 4076 |
| Place of birth | Pontypool, Monmouthshire, South Wales |
| School | Kings College, Taunton, England |
| Age on arrival in Australia | 18 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Dawes Point, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs C A Evans, The Vicarage, Treherbert, Glanawyanshire, Wales, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Place of enlistment | Casula, New South Wales |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Recommendations (Medals and Awards) |
Mention in Army Orders Recommendation date: |
| Fate | Died of wounds |
| Place of death or wounding | Harbonnieres, France |
| Age at death | 22 |
| Place of burial | Heath Cemetery (Plot VII, row H, Grave No. 17), Harbonnieres, France |
| Panel number, Roll of Honour, Australian War Memorial | 40 |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |