| Regimental number | 1996 |
| Place of birth | Maryborough Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mt Perry, Queensland |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Father, James Stephenson, Springfield, Drummer's Creek, Mt Perry Line, Queensland |
| Enlistment date | 3 February 1916 |
| Rank on enlistment | Private |
| Unit name | 47th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/64/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on 1 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 42nd Battalion |
| Fate | Returned to Australia 4 December 1918 |
