| Regimental number | 21430 |
| Place of birth | Calcutta India |
| Religion | Church of England |
| Occupation | Storeman |
| Address | Darlinghurst, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs M Stephens, 80 Thompson Street, Darlinghurst, New South Wales |
| Enlistment date | 2 October 1917 |
| Date of enlistment from Nominal Roll | 4 October 1917 |
| Rank on enlistment | Sapper |
| Unit name | 1st Field Squadron Engineers - January, 1918, Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Lyttleton on 24 June 1918 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Field Squadron Australian Mounted Division |
| Fate | Returned to Australia 25 July 1919 |
