| Regimental number | 2499 |
| Place of birth | Winchelsea England |
| Religion | Church of England |
| Occupation | Clerk |
| Address | c/o W H Wills, 74 Goulburn Street, sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs S A Stavenhagen, Waterkloof cottage, Winchelson, Sussex, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A75 Ballarat on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
