| Regimental number | 66 |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | 543 Main Street, Kangaroo Point, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Henrietta Ann Stevens, 543 Main Street, Kangaroo Point, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Naval & Military Expeditionary Force (Queensland Reinforcement) |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |