| Regimental number | 1986 |
| Place of birth | Penguin Tasmania |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs H Phillips, Stephen Street, Richmond, Melbourne, Victoria |
| Enlistment date | 21 June 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on 26 August 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 9 February 1916 |