| Regimental number | 7009 |
| Place of birth | Molong New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Subiaco, Western Australia |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Elsie Evelyn Evans, 6 Hamilton Street, Subiaco, Western Australia |
| Enlistment date | 26 August 1916 |
| Date of enlistment from Nominal Roll | 26 August 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/45/4 |
| Embarkation details | Unit embarked from Albany, Western Australia, on board HMAT A16 Port Melbourne on 24 July 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 21 June 1919 |
