| Regimental number | 18649 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Draughtsman |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Amy Beatrice Stevens, c/o Mr. W. Donald, 5th avenue, Neutral Bay, New South Wales |
| Enlistment date | 16 February 1917 |
| Date of enlistment from Nominal Roll | 17 February 1917 |
| Rank on enlistment | Sapper |
| Unit name | May 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 8 August 1917 |
| Regimental number from Nominal Roll | 18647 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 4th Field Company Engineers |
| Fate | Returned to Australia 1 July 1919 |
