| Regimental number | 2401 |
| Place of birth | Glamorgan Wales |
| Religion | Church of England |
| Occupation | Blacksmith's striker |
| Address | 4 Rochford Street, Erskineville, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Lydia Elizabeth Evans, 4 Rochford Street, Erskineville, New South Wales |
| Enlistment date | 22 May 1916 |
| Date of enlistment from Nominal Roll | 22 May 1916 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/72/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 30 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 5 November 1917 |
