| Regimental number | 1617 |
| Religion | Church of England |
| Occupation | Engine driver |
| Address | Stanford, Merthyr near West Maitland, New South Wales |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Mother, Mrs Ann Evans, Moore's Row, Fochrew via Cardiff, South Wales |
| Enlistment date | 16 February 1916 |
| Rank on enlistment | Private |
| Unit name | 34th Battalion, D Company |
| AWM Embarkation Roll number | 23/51/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 2 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
