| Regimental number | 19125 |
| Place of birth | Launceston Tasmania |
| Religion | Presbyterian |
| Occupation | Stevedore |
| Address | Albert Park, Victoria |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs W A W Stephens, 170 Victoria Avenue, Albert Park, Victoria |
| Enlistment date | 9 July 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, September 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 22 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 19 October 1918 |
| Date of death | 8 July 1929 |
| Place of burial | Cheltenham Pioneer Cemetery |
