| Regimental number | 1989 |
| Place of birth | Adelong New South Wales |
| Religion | Church of England |
| Occupation | Saddler |
| Address | Humula via Wagga Wagga, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs C Phillips, Humula via Wagga Wagga, New South Wales |
| Enlistment date | 15 June 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 9 August 1915 |
| Rank from Nominal Roll | Warrant Officer (Class II) |
| Unit from Nominal Roll | 14th Light Horse Regiment |
| Fate | Returned to Australia 24 July 1919 |