| Regimental number | 1223 |
| Place of birth | Parks New South Wales |
| Religion | Church of England |
| Occupation | Commercial traveller |
| Address | 106 High Street, Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mrs E A Evans, 106 High Street, Fremantle, Western Australia |
| Previous military service | 86th Infantry |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Australian Stationary Hospital 2 |
| AWM Embarkation Roll number | 26/71/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A55 Kyarra on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 13th Field Ambulance |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |