| Regimental number | 6665 |
| Place of birth | Sydney New South Wales |
| Religion | Congregational |
| Occupation | Jackeroo |
| Address | Rockdale, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, W Stockham, Frederick Street, Rockdale, Sydney, New South Wales |
| Enlistment date | 8 January 1917 |
| Date of enlistment from Nominal Roll | 27 December 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 18 January 1919 |
