| Regimental number | 2021 |
| Place of birth | Golden Square, Victoria |
| Religion | Church of England |
| Occupation | Grocer |
| Address | 454 Ryrie Street, Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs E Evans, 454 Ryrie Street, Geelong, Victoria |
| Enlistment date | 18 August 1915 |
| Date of enlistment from Nominal Roll | 1 September 1915 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/46/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 18 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Light Trench Mortar Battery |
| Fate | Returned to Australia 22 May 1919 |
