| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | 15 Billyard Avenue, Elizabeth Bay, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs E Milner Stephen, 2 Manning Street, Potts Point, Sydney, New South Wales |
| Enlistment date | 29 April 1915 |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A63 Karoola on 16 June 1915 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A6 Clan MacQuorquodale on 6 February 1915 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A12 Saldanha on 5 February 1915 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A48 Seang Bee on 11 February 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |