| Regimental number | 28452 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Locomotive fireman |
| Address | 74 St Vincents Place, Albert Park, Victoria |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs E M Stephens, c/o Mrs J Young, 23 Lyall Street, South Melbourne, Victoria |
| Enlistment date | 12 April 1916 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 1, Reinforcement 21 |
| AWM Embarkation Roll number | 25/89/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia 21 April 1918 |