| Regimental number | 21419 |
| Place of birth | Mackay Queensland |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Enoggera, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E Stevens, Colton Vale, Mackay, Queensland |
| Enlistment date | 13 November 1915 |
| Date of enlistment from Nominal Roll | 11 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | 9th Field Artillery Brigade, Brigade Ammunition Column |
| AWM Embarkation Roll number | 13/36A/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 11 May 1916 |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 3rd Divisional Trench Mortar Battery |
| Fate | Returned to Australia 11 May 1919 |
