| Regimental number | 3820 |
| Place of birth | Jamestown South Australia |
| Religion | Baptist |
| Occupation | Labourer |
| Address | GPO, Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs M Andrey Mountstephen, 60 North Terrace, Adelaide, South Australia |
| Enlistment date | 7 August 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/27/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Malwa on 2 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 23 September 1918 |
| Date of death | 29 October 1940 |
