| Regimental number | 21214 |
| Place of birth | Newcastle New South Wales |
| Religion | Church of England |
| Occupation | Horse driver |
| Address | Stanley Terrace, East Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs Carrie Evers, c/o Mrs Mansfield, Stanley Terrace, East Brisbane, Queensland |
| Enlistment date | 3 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | 9th Field Artillery Brigade, 36th Battery |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 11 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia 3 March 1919 |