| Place of birth | London England |
| Religion | Church of England |
| Occupation | Civil servant |
| Address | Mary Street, Grafton, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs. Ida Muriel Phillips, Pritchard Street, Wentworth Falls, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 6th Light Horse Regiment, 16th Reinforcement |
| AWM Embarkation Roll number | 10/11/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A1 Hymettus on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 6th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
