| Regimental number | 69029 |
| Place of birth | Chiltern Valley, Victoria |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | Chiltern, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, J Evans, Chiltern, Victoria |
| Previous military service | 5th Battalion 3rd Infantry |
| Enlistment date | 16 August 1918 |
| Rank on enlistment | Private |
| Unit name | 16th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
