| Regimental number | 1043 |
| Place of birth | Rockhampton Queensland |
| Religion | Congregational |
| Occupation | Stockman |
| Address | Avondale, Murphy's Creek, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs. L. E. Stevens, Avondale, Murphy's Creek, Queensland |
| Enlistment date | 12 January 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/7/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A7 Medic on 2 June 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Fate | Returned to Australia 8 March 1917 |
