| Regimental number | 2173 |
| Place of birth | Emu Plains New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Castelreagh, via Penrith, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs. Sarah Elsie Evans, Castlereagh, via Penrith, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/11/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A4 Pera on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Camel Brigade Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
