| Regimental number | 16658 |
| Place of birth | Leichhardt New South Wales |
| Religion | Church of England |
| Occupation | Casemaker |
| Address | 8 Prospect Street, Leichhardt, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Violet Stubbs, 8 Prospect Street, Leichhardt, Sydney, New South Wales |
| Enlistment date | 19 February 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Field Ambulance, 24th Reinforcement |
| AWM Embarkation Roll number | 26/39/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Karmala on 3 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Australian General Hospital |
| Fate | Returned to Australia 16 March 1919 |
