| Regimental number | 3126 |
| Place of birth | Bega New South Wales |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | PO, Wyalong, New South Wales |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs M C Stevens, PO Wyalong, New South Wales |
| Enlistment date | 15 July 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 8 October 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 11 December 1918 |
