| Regimental number | 7904 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Campbell's Creek, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Frank Stephens, Campbell's Creek, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Australian General Hospital, Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on |
| Miscellaneous details (Nominal Roll) | see other |