| Regimental number | 5074 |
| Place of birth | Sandy Creek South Australia |
| Religion | Congregational |
| Occupation | Gardener |
| Address | Cockatoo Valley PO, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Elizabeth S Stevens, Cockatoo Valley PO, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 13th Reinforcement |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board A45 Bulla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
