| Regimental number | 4804 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Sophia Ann Stephens, 491 Church Street, Richmond, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
