| Regimental number | 36 |
| Place of birth | Shropshire England |
| Religion | Methodist |
| Occupation | Hospital attendant |
| Address | Hospital, Rydalmere, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs L Evans, 5 St John Street, Rogerstone, Newport, Monmouthshire, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, A Squadron |
| AWM Embarkation Roll number | 26/44/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A14 Euripides on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |