| Regimental number | 1663 |
| Place of birth | Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs Rhoda Stevens, Brewery, Warracknabeal, Victoria |
| Enlistment date | 12 January 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/33/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 19 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 20 January 1916 |