| Regimental number | 4612 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Dealer |
| Address | 30 Noone Street, Clifton Hill, Victoria |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Rebecca J Stephens, 30 Noone Street, Clifton Hill, Victoria |
| Enlistment date | 5 September 1916 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/46/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 16 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 32nd Battalion |
| Fate | Returned to Australia 8 July 1919 |
