| Regimental number | 53508 |
| Place of birth | N/A England |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Wagga Wagga, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs M Stephenson, 19 Garston Street, Chesham, Bury, Lancashire, England |
| Enlistment date | 3 July 1917 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 3 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 8 May 1918 |
| Regimental number from Nominal Roll | 58508 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Service Corps Details |
| Fate | Discharged 6 May 1919 |