| Regimental number | 3632 |
| Place of birth | Shifnal England |
| Religion | Church of England |
| Occupation | Brickmaker |
| Address | West End, Queensland |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Dinah Ann Evans, Scott Street, West End, Queensland |
| Enlistment date | 20 April 1917 |
| Date of enlistment from Nominal Roll | 20 April 1917 |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/69/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 52nd Battalion |
| Fate | Returned to Australia 12 May 1918 |
