| Regimental number | 2917 |
| Place of birth | Hay New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Cooper Street, Cootamundra, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, W F Stevens, Cooper Street, Cootamundra, New South Wales |
| Enlistment date | 30 June 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 30 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 9 December 1918 |
