| Regimental number | 12379 |
| Place of birth | Elaine Victoria |
| Religion | Church of England |
| Occupation | Commercial traveller |
| Address | 66 Donald Street, Prahran, Victoria |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs A E Phillips, 66 Donald Street, Prahran, Victoria |
| Enlistment date | 19 August 1915 |
| Rank on enlistment | Sergeant |
| Unit name | Field Ambulance 10 |
| AWM Embarkation Roll number | 26/53/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 20 June 1916 |
| Rank from Nominal Roll | Warrant Officer (Class I) |
| Unit from Nominal Roll | 10th Field Ambulance |
| Fate | Returned to Australia 9 December 1918 |