| Regimental number | 747 |
| Place of birth | Parkes New South Wales |
| Religion | Roman Catholic |
| Occupation | Assistant in gold mine |
| Address | Caswell Street, Peak Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Ellen Agnes Evans, Caswell Street, Peak Hill, New South Wales |
| Enlistment date | 1 February 1916 |
| Date of enlistment from Nominal Roll | 21 January 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, C Company |
| AWM Embarkation Roll number | 23/53/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 13 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 36th Battalion |
| Fate | Returned to Australia 27 August 1917 |
