| Regimental number | 1396 |
| Place of birth | Cornwall England |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Merbein PO, Mildura, Victoria |
| Marital status | Married |
| Age at embarkation | 20 |
| Next of kin | Wife, Mrs R Evans, Merbein PO, Mildura, Victoria |
| Enlistment date | 7 July 1915 |
| Date of enlistment from Nominal Roll | 9 July 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/9/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A56 Palermo on 29 October 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia 10 March 1918 |
