| Regimental number | 5967 |
| Place of birth | Adelaide South Australia |
| Religion | Methodist |
| Occupation | Bank clerk |
| Address | Hyde Park, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs E Phillips, 17 Mitchell Street, Hyde Park, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 10th Battalion |
| Promotions |
2nd Lieutenant Unit: Unattached Promotion date: |
| Fate | Returned to Australia |