| Regimental number | 1771 |
| Place of birth | Kent England |
| Religion | Church of England |
| Occupation | Orchardist |
| Address | Friend, 47 Collins Place, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs Janet Stevens, Carlos Place, Grosvenor Square, West London, England |
| Enlistment date | |
| Rank on enlistment | Acting Corporal |
| Unit name | 29th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/46/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | a PROV C |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
