| Regimental number | 66 |
| Place of birth | Llanelly South Wales |
| Religion | Church of England |
| Occupation | Engine driver |
| Address | North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Florence Evans, 17 Thomas Street, North Sydney, New South Wales |
| Enlistment date | 30 December 1916 |
| Date of enlistment from Nominal Roll | 29 December 1916 |
| Rank on enlistment | Corporal |
| Unit name | Section 1 |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 6th Broad Gauge Railway Operating Company |
| Fate | Returned to Australia 9 March 1919 |
