| Regimental number | 16701 |
| Place of birth | Melbourne Victoria |
| Religion | Methodist |
| Occupation | Salesman |
| Address | Hawthorn, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs A A Stevens, 58A Manningtree Road, Hawthorn, Victoria |
| Enlistment date | 1 March 1916 |
| Date of enlistment from Nominal Roll | 26 January 1916 |
| Rank on enlistment | Private |
| Unit name | January 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Omrah on 17 January 1917 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 2nd Sanitary Section |
| Fate | Returned to Australia 28 July 1919 |