| Regimental number | 2647 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Iron Knob, South Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Helen Phillips, 115 Hamilton Road, Longsight, Manchester, England |
| Enlistment date | 21 January 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 18th Reinforcement |
| AWM Embarkation Roll number | 10/8/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A13 Katuna on 23 June 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
