| Regimental number | 10067 |
| Place of birth | Birmingham England |
| Religion | Congregational |
| Occupation | Mechanic |
| Address | Mosman, via Port Douglas, Queensland |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs F H Evans, 12 Norfolk Road, Erdington, Birmingham, England |
| Enlistment date | 18 September 1915 |
| Rank on enlistment | Sergeant |
| Unit name | 7th Field Ambulance, 11th Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star of Victoria on 31 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Field Ambulance |
| Fate | Returned to Australia 13 July 1919 |
