| Regimental number | 1928 |
| Place of birth | Campbelltown New South Wales |
| Religion | Methodist |
| Occupation | Navvy |
| Address | Campbelltown, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Stephens Hazelwood, Broughton Street, Campbelltown, New South Wales |
| Enlistment date | 21 February 1916 |
| Date of enlistment from Nominal Roll | 13 February 1916 |
| Rank on enlistment | Private |
| Unit name | 45th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/62/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 1 July 1919 |