| Regimental number | 5496 |
| Place of birth | Hay New South Wales |
| Religion | Roman Catholic |
| Occupation | Teamster |
| Address | Mauduia, Hay, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, W H Stephens, Maudluia, Hay, New South Wales |
| Enlistment date | 7 January 1916 |
| Date of enlistment from Nominal Roll | 8 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A4 Ceramic on 14 April 1916 |
| Regimental number from Nominal Roll | 5496A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 21 December 1917 |
