| Regimental number | 2849 |
| Place of birth | Bemboka New South Wales |
| Religion | Church of England |
| Occupation | Shire employee |
| Address | Ellis Coffee Palace, King Street, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Eva Annie Evans, Upper Street, Bega, New South Wales |
| Enlistment date | 23 May 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 14/13/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 October 1916 |