| Regimental number | 3267 |
| Place of birth | Gormandale Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Margaret Stevenson, Glenmaggie, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Margaret Stevenson, Coleville, Victoria |
| Enlistment date | 19 July 1915 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/39/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A73 Commonwealth on 26 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |