| Regimental number | 649 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | 384 Rae Street, North Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Sarah Phillips, 384 Rae Street, North Fitzroy, Victoria |
| Enlistment date | 4 December 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 15, Reinforcement 11 |
| AWM Embarkation Roll number | 24/20/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Effective abroad (still overseas) |