| Regimental number | 1291 |
| Place of birth | Newcastle New South Wales |
| Religion | Baptist |
| Occupation | Miner |
| Address | Northcote Street, Aberdare, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Mary Evans, Northcote Street, Aberdare, New South Wales |
| Enlistment date | 20 March 1916 |
| Date of enlistment from Nominal Roll | 20 March 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, D Company |
| AWM Embarkation Roll number | 23/53/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 13 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 24 August 1918 |