| Regimental number | 5733 |
| Place of birth | Ballarat Victoria |
| Religion | Methodist |
| Occupation | Cook |
| Address | Fairy Street, Warrnambool, Victoria |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs E M Stevens, Fairy Street, Warrnambool, Victoria |
| Enlistment date | 16 February 1916 |
| Date of enlistment from Nominal Roll | 21 February 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 27 August 1917 |