| Regimental number | 57639 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Engineer |
| Address | Kundale, Queensland |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Legatee, Mrs E Phillips, Clontarf Strand, Townsville, Queensland |
| Enlistment date | 1 April 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 4 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Service Corps |
| Fate | Effective abroad (still overseas) |
