| Regimental number | 1633 |
| Place of birth | Dubbo New South Wales |
| Religion | Church of England |
| Occupation | Baker |
| Address | c/o E J Stevens, Shire Clerk, Dubbo, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, E J Stevens, Shire Clerk, Dubbo, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/21/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A49 Seang Choon on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
