| Regimental number | 4057 |
| Place of birth | Hessenbery Queensland |
| Religion | Presbyterian |
| Occupation | Cattle dealer |
| Address | c/o Mrs J Stephenson, Wynnum South, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Mrs Janet Stephenson, Wynnum South, Queensland |
| Enlistment date | 2 May 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 11 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 1 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Effective abroad (still overseas) |
