| Regimental number | 4575 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Miner |
| Address | Port Pirie, South Australia |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs E Phillips, Port Pirie, South Australia |
| Enlistment date | 1 August 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A70 Ballarat on 16 December 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
