| Regimental number | 3476 |
| Religion | Church of England |
| Occupation | Horse driver |
| Address | Newtown, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs J E Stephens, 46 Bucknell Street, Newtown, Sydney, New South Wales |
| Enlistment date | 18 July 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/30/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A17 Port Lincoln on 13 October 1915 |
| Regimental number from Nominal Roll | 4321 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Returned to Australia 22 July 1917 |
