| Regimental number | 54268 |
| Place of birth | Nowra Hill New South Wales |
| Religion | Church of England |
| Occupation | Car driver |
| Address | Dorrigo, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs I C Stephenson, Dorrigo, New South Wales |
| Enlistment date | 29 April 1918 |
| Rank on enlistment | Private |
| Unit name | 6th General Service Reinforcements (New South Wales) |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on 19 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 25 September 1919 |
