| Place of birth | Brighton Victoria |
| Occupation | Manufacturing jeweller |
| Address | 'Pilbarra', Church Street, Middle Brighton, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Marjorie Pamphilon, 'Pilbarra', Church Street, Middle Brighton, Victoria |
| Enlistment date | |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 4th Light Horse Regiment, 17th Reinforcement |
| AWM Embarkation Roll number | 10/9/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A6 Clan Maccorquodale on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 8th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
