| Regimental number | 4001 |
| Place of birth | Ipswich Queensland |
| Religion | Methodist |
| Occupation | School teacher |
| Address | Ipswich, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs. Edith Martha Stevens, Keogh Street, West Ipswich, Queensland |
| Previous military service | 11th Infantry |
| Enlistment date | 11 March 1916 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/48/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on 21 October 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Effective abroad (still overseas) |
