| Regimental number | 2653 |
| Place of birth | Darlington New South Wales |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Alma Road, Morandera, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Ellen Stevens, Alma Road, Maroubra Bay, Sydney, New South Wales |
| Enlistment date | 8 May 1916 |
| Rank on enlistment | Private |
| Unit name | 35th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/52/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 1 November 1917 |
