| Regimental number | 19716 |
| Place of birth | Glenelg South Australia |
| Religion | Church of England |
| Occupation | Tram conductor |
| Address | Black Rock, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Anastasia Stevens, 'Ohama', Beach Road, Black Rock, Victoria |
| Enlistment date | 2 May 1917 |
| Date of enlistment from Nominal Roll | 27 April 1917 |
| Rank on enlistment | Sapper |
| Unit name | |
| AWM Embarkation Roll number | 22/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 8 August 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Australian Corps Signal Company |
| Fate | Returned to Australia 25 March 1919 |
