| Regimental number | 1645 |
| Place of birth | Ballarat, Victoria |
| Religion | Roman Catholic |
| Occupation | Carpenter's labourer |
| Address | Junee, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs Margaret Evans, 16 Ascot Street, North Ballarat, Victoria |
| Enlistment date | 3 December 1915 |
| Date of enlistment from Nominal Roll | 3 December 1915 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/72/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 4 May 1917 |
