| Regimental number | 16879 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Evelyn Margaret Phillips, 114 Hayberry Street, North Sydney, New South Wales |
| Enlistment date | 30 October 1916 |
| Rank on enlistment | Driver |
| Unit name | January 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 10 February 1917 |
| Regimental number from Nominal Roll | 16877 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 8th Field Company Engineers |
| Fate | Returned to Australia 10 June 1919 |
