| Regimental number | 35 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Langley, near Slough, Buckinghamshire, England |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Father, R Evans, Langley, near Slough, Buckinghamshire, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Naval & Military Expeditionary Force (Queensland Reinforcement) |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |