| Regimental number | 59276 |
| Place of birth | Fitzroy Victoria |
| Religion | Church of England |
| Occupation | Driver |
| Address | Paddington, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs E Stephenson, 31 Gurner Street, Paddington, New South Wales |
| Enlistment date | 5 June 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 12 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Motor Transport Section |
| Fate | Effective abroad (still overseas) |
