| Regimental number | 5067 |
| Place of birth | Brimingham England |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Dundas Place, Albert Park, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Bertha Phillips, 2 Struan Terrace, East Boldon Durham, England |
| Enlistment date | 31 January 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A33 Ayrshire on 3 July 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 20 November 1918 |
