| Regimental number | 7771 |
| Place of birth | Loftus England |
| Religion | Church of England |
| Occupation | Tram guard |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs S M Phillips, Little Ayton, Great Ayton, Yorkshire, England |
| Enlistment date | 26 April 1915 |
| Rank on enlistment | Private |
| Unit name | First Australian General Hospital, Special Reinforcements |
| AWM Embarkation Roll number | 26.65.3RSSPEC |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 12 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |