| Regimental number | 1999 |
| Place of birth | Guildford Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Guilford PO, Guilford, via Castlemaine, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs John Stevens, Guilford PO, Guilford, Castlemaine, Victoria |
| Enlistment date | 21 June 1915 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/41/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on 26 August 1915 |
