| Regimental number | 4179 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 17 Renwick Street, Drummoyne, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Mr J Everett, 17 Renwick Street, Drummoyne, New South Wales |
| Enlistment date | 6 September 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |