| Regimental number | 5175 |
| Place of birth | Bendigo Victoria |
| Religion | Baptist |
| Occupation | Metal worker |
| Address | Spring Vale Road, Tunstall, Victoria |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Brother, Mr F Phillips, Spring Vale Road, Tunstall, Victoria |
| Enlistment date | 1 February 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 3 January 1919 |