| Regimental number | 3642 |
| Place of birth | Deloraine Tasmania |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Penguin, Tasmania |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs M L Stephens, Penguin, Tasmania |
| Enlistment date | 15 June 1917 |
| Rank on enlistment | Private |
| Unit name | 40th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/57/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 40th Battalion |
| Fate | Returned to Australia 18 December 1918 |
