| Regimental number | 3034 |
| Place of birth | Roadvale Queensland |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Boonah, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Marion Stephan, Boonah, Queensland |
| Enlistment date | 6 October 1916 |
| Rank on enlistment | Private |
| Unit name | 47th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/64/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A74 Marathon on 27 October 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
