| Regimental number | 12406 |
| Place of birth | Ballarat Victoria |
| Religion | Methodist |
| Occupation | Printer |
| Address | 202 Church Street, Richmond, Victoria |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs D E Stevens, 202 Church Street, Richmond, Victoria |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Field Ambulance 10 |
| AWM Embarkation Roll number | 26/53/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 10th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
