| Regimental number | 6646 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Billinudgel, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs I Stephenson, Billinudgel, Richmond River, New South Wales |
| Enlistment date | 23 October 1916 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/37/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia 21 December 1918 |