| Regimental number | 4535 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Painter |
| Address | St Peters, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs F Eugene Evans, 79 Silver Street, St Peters, Sydney, New South Wales |
| Enlistment date | 28 August 1916 |
| Date of enlistment from Nominal Roll | 28 August 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 25 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 11 December 1918 |
