| Regimental number | 17600 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Margaret Stephens, Breakfast Creek Bridge, Queensland |
| Enlistment date | 13 September 1916 |
| Rank on enlistment | Sapper |
| Unit name | March 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 May 1917 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 1-5 Division Field Company Engineers |
| Fate | Returned to Australia 15 April 1918 |