| Regimental number | 100 |
| Place of birth | Shropshire, England |
| Religion | Church of England |
| Occupation | Stockman |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | J Evans, Danescroft, Lextwich Green, Norwich, Cheshire, England |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | 3rd Field Ambulance, B Squadron |
| AWM Embarkation Roll number | 26/46/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board Transport A7 Medic on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Divisional Signal Company |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |