| Regimental number | 268 |
| Place of birth | VIC |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Granville, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Elsie Gertrude Phillips, Queen Street, Granville, New South Wales |
| Enlistment date | 15 January 1917 |
| Rank on enlistment | Private |
| Unit name | Section 1 |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |