| Regimental number | 5215 |
| Place of birth | Petersburg South Australia |
| Religion | Church of England |
| Occupation | Commercial traveller |
| Address | 6 Saltram Street, Glenelg, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs C Stephen, 6 Saltram Road, Glenelg, South Australia |
| Enlistment date | 2 December 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A9 Shropshire on 25 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 4 December 1918 |
