| Regimental number | 11149 |
| Place of birth | Adelaide, South Australia |
| Religion | Baptist |
| Occupation | Fireman |
| Address | Torrensville, South Australia |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs R V Evans, Park Terrace, Bowden, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | May 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A13 Katuna on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Light Horse Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
