| Regimental number | 4074 |
| Place of birth | Pyrmont New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | White Street, Leichhardt, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Hetty Stubbles, Main Road, Lower Hut, Wellington, New Zealand |
| Enlistment date | 4 May 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Fate | No details of fate entered on Nominal Roll |