| Regimental number | 28 |
| Place of birth | Wagga Wagga New South Wales |
| Religion | Presbyterian |
| Occupation | Boundary rider |
| Address | Coonabarabran, North, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Gladys Stephenson, 285 Bourke Street, Darlinghurst, Sydney, New South Wales |
| Enlistment date | 23 February 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, Headquarters |
| AWM Embarkation Roll number | 10/17/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A44 Vestalia on 22 June 1915 |
| Regimental number from Nominal Roll | 218 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Fate | Returned to Australia 15 December 1918 |
