| Regimental number | 58 |
| Religion | Church of England |
| Occupation | Grocer |
| Address | 11 May Street, North Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | John T Stevens, 11 May Street, North Fitzroy, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, E Company |
| AWM Embarkation Roll number | 23/25/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A24 Benalla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Fawkner Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
