| Regimental number | 21761 |
| Place of birth | Albury Victoria |
| Religion | Roman Catholic |
| Occupation | Grazier |
| Address | East Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs C D McPhillamy, 'Rathmore', Clarendon Street, East Melbourne, Victoria |
| Enlistment date | 9 July 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 3 May 1919 |
