| Regimental number | 2724 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Labourer |
| Address | 167 Trafalgar Street, Annandale, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Matilda Phillips, 167 Trafalgar Street, Annandale, New South Wales |
| Previous military service | 31st Infantry |
| Enlistment date | 18 January 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/47/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
