| Regimental number | 2047 |
| Place of birth | Paddington England |
| Religion | Church of England |
| Occupation | Butcher |
| Address | 'Lenville', Phillip Street West Coburg, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs E Stevens, 35 Tarrant Street, Queen's Park, London W, England |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | 2nd Field Ambulance, Reinforcement 1 |
| AWM Embarkation Roll number | 26/45/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Field Ambulance |
| Fate | Effective abroad (still overseas) |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Date of death |