| Regimental number | 4990 |
| Religion | Roman Catholic |
| Occupation | Engineer and fitter |
| Address | Dockyard, Stuart Town, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Evans, Stockyard, Stuart Town, New South Wales |
| Enlistment date | 7 May 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Army Medical Corps, Hospital Transports Staff (No. 1 Hospital Ship, 'Karoola') |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 14 July 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
