| Regimental number | 1167 |
| Place of birth | Bourke New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Spring Bank, Epping, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs F. Stevens, Spring Bank, Epping, Victoria |
| Enlistment date | 4 June 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 8th Reinforcement |
| AWM Embarkation Roll number | 10/9/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A55 Kyarra on 20 August 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 19 April 1919 |
