| Regimental number | 5073 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Harriet Ann Stevens, Manning Street, Red Hill, Brisbane, Queensland |
| Enlistment date | 2 February 1916 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/42/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia 4 June 1919 |
