| Regimental number | 6367 |
| Place of birth | Liverpool England |
| Religion | Church of England |
| Occupation | Boundary rider |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs I F Stephenson, 56 Windsor Street, Paddington, Sydney, New South Wales |
| Enlistment date | 1 June 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 11 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 10 December 1918 |
