| Regimental number | 3361 |
| Place of birth | Armadale Victoria |
| Religion | Baptist |
| Occupation | Draper |
| Address | 21 Kooyong Road, Malvern, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, A E Stephens, 21 Kooyong Road, Malvern, Victoria |
| Enlistment date | 5 February 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Field Ambulance, Section C |
| AWM Embarkation Roll number | 26/49/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A31 Ajana on 4 June 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | aasc TNG DEPOT |
| Fate | Returned to Australia 4 May 1917 |
