| Regimental number | 563 |
| Place of birth | Penshurst, Victoria |
| Religion | Church of England |
| Occupation | Mill hand |
| Address | 96 Easey Street, Collingwood, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mrs T Stephens, 96 Easey Street, Collingwood, Victoria |
| Enlistment date | 17 August 1914 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, E Company |
| AWM Embarkation Roll number | 23/23/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A20 Hororata on 19 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 29 April 1915 |
