| Regimental number | 972 |
| Place of birth | Burton On Trent England |
| Religion | Church of England |
| Occupation | Bakers carter |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Cora Stevens, 232 Darby Street, Burton on Trent Staffordshire, England |
| Enlistment date | 10 September 1914 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, H Company |
| AWM Embarkation Roll number | 23/29/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A7 Medic on 2 November 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 23 September 1918 |
