| Regimental number | 6812 |
| Place of birth | Bega New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Church Street, West Wyalong, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, D J Stevens, Church Street, West Wyalong, New South Wales |
| Enlistment date | 20 June 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Napier on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 29th Battalion |
| Fate | Returned to Australia 12 December 1918 |
