| Regimental number | 4107 |
| Place of birth | Newport Victoria |
| Religion | Presbyterian |
| Occupation | Dentist |
| Address | Newport, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs E Stephens, 266 Melbourne Road, Newport, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Field Ambulance, Reinforcement 7 |
| AWM Embarkation Roll number | 26/45/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A57 Malakuta on |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 16th Dental Unit |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
