| Regimental number | 624 |
| Place of birth | Bath England |
| Religion | Church of England |
| Occupation | Station overseer |
| Address | 25 Frome Road, Bradford-on-Avon, Wiltshire, England |
| Marital status | Single |
| Age at embarkation | 49 |
| Next of kin | Father, Edward Haynes Eversley, 25 Frome Road, Bradford-on-Avon, Wiltshire, England |
| Enlistment date | 14 September 1915 |
| Date of enlistment from Nominal Roll | 14 September 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Remount Unit 1, Squadron 3 |
| AWM Embarkation Roll number | 28/2/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A67 Orsova on 12 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Remount Unit |
| Fate | Returned to Australia 24 June 1916 |
