| Regimental number | 4043 |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, C E Phillip, 10 Bridge Street, Barton Hill, Bristol, England |
| Enlistment date | 7 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/18/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Mooltan on 11 December 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
