| Regimental number | 14623 |
| Place of birth | Adelaide South Australia |
| Religion | Roman Catholic |
| Occupation | Loco foreman |
| Address | Torrensville, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs A Stevens, 21 Danby Street, Torrensville, South Australia |
| Enlistment date | 23 February 1916 |
| Rank on enlistment | Private |
| Unit name | Australian Army Medical Corps, July 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 12 August 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 2nd Squadron Australian Flying Corps |
| Fate | Returned to Australia 26 July 1919 |
