| Regimental number | 6558 |
| Place of birth | Hobart, Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 61 Campbell Street, Hobart, Tasmania |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs V Evans, 61 Campbell Street, Hobart, Tasmania |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |