| Regimental number | 22 |
| Place of birth | Sydney, New South Wales |
| Religion | Church of England |
| Occupation | Storeman |
| Address | 61 Sprinson Street, Neutral Bay, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Leanor Stevens, 61 Sprinson Street, Neutral Bay, New South Wales |
| Enlistment date | 1 September 1914 |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, A Squadron |
| AWM Embarkation Roll number | 26/44/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A14 Euripides on 20 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian General Hospital |
| Fate | Returned to Australia 8 October 1918 |
