| Regimental number | 1124 |
| Religion | Church of England |
| Occupation | Miner |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Thomas Evans, Pointgaidd, South Wales, England |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | 2nd Light Horse Brigade Train |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A39 Port Macquarie on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |