| Regimental number | 2164 |
| Place of birth | Wales England |
| Religion | Church of England |
| Occupation | Constable |
| Address | 38 Cromwell Street, Collingwood, Victoria |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Ellen Stephens, 38 Cromwell Street, Collingwood, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/13/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A43 Barunga on |
| Regimental number from Nominal Roll | 19748 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Hospital Ship Staff |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
