| Regimental number | 4673 |
| Place of birth | Ballarat Victoria |
| Religion | Roman Catholic |
| Occupation | Packer |
| Address | 52 Simpson Street, East Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, J Phelan, Ballarat, Victoria |
| Enlistment date | 8 June 1917 |
| Rank on enlistment | Private |
| Unit name | Light Horse, February 1918 Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on 30 April 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |