| Regimental number | 2107 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Metal ceiling worker |
| Address | 33 Hay Street, Subiaco, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs M Bevan, Subiaco, Perth, Western Australia |
| Enlistment date | 27 June 1915 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 30 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 8 April 1919 |
