| Regimental number | 28364 |
| Place of birth | Dudley England |
| Religion | Church of England |
| Occupation | Gardener |
| Address | 16 Middle Street, Ascot Vale, Victoria |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Cousin, J Stephenson, sen., Iron Foundry PO, Iron Foundry, Little Bourke Street, Melbourne, Victoria |
| Enlistment date | 22 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 12, Reinforcement 7 |
| AWM Embarkation Roll number | 13/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | Australian General Base Depot |
| Fate | Returned to Australia 19 June 1919 |