| Regimental number | 68865 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Kew, Victoria |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs E R Stevens, 14 Derby Street, Kew, Victoria |
| Enlistment date | 24 July 1918 |
| Rank on enlistment | Private |
| Unit name | 15th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on 22 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
