| Regimental number | 1040 |
| Place of birth | Mildura Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 16 Reed Street, Wilcannia, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs M Phillips, 16 Reed Street, Wilcannia, New South Wales |
| Enlistment date | 14 January 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 7th Reinforcement |
| AWM Embarkation Roll number | 10/14/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A21 Marere on 16 August 1915 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A61 Kanowna on 24 June 1915 |
| Rank from Nominal Roll | Trooper |
| Unit from Nominal Roll | 9th Light Horse Regiment |
| Fate | Effective abroad (still overseas) |
