| Regimental number | 1165 |
| Place of birth | Gordon, Victoria |
| Religion | Congregational |
| Occupation | Railway employee |
| Address | 5 Fair Street, West Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs Elizabeth Evans, 5 Fair Street, West Geelong, Victoria |
| Enlistment date | 21 February 1916 |
| Date of enlistment from Nominal Roll | 21 February 1916 |
| Rank on enlistment | Private |
| Unit name | 38th Battalion, D Company |
| AWM Embarkation Roll number | 23/55/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 20 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 10 December 1918 |
