| Regimental number | 1023A |
| Place of birth | Norwood, South Australia |
| Religion | Church of England |
| Occupation | Plasterer |
| Address | 23 Young Street, Kent Town, South Australia |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs. Eva Vic Evans, 23 Young Street, Kent Town, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 7th Reinforcement |
| AWM Embarkation Roll number | 10/14/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A21 Marere on |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A61 Kanowna on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
