| Regimental number | 940 |
| Place of birth | Westbury Tasmania |
| Religion | NAPT |
| Occupation | Steward |
| Address | Hobart, Tasmania |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Daisy Elizabeth Stephens, 14 Strahan Street, Hobart, Tasmania |
| Enlistment date | 30 September 1916 |
| Rank on enlistment | Sergeant |
| Unit name | 40th Battalion, D Company |
| AWM Embarkation Roll number | 23/57/1 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board HMAT A35 Berrima on 1 July 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 40th Battalion |
| Fate | Returned to Australia 19 October 1917 |