
| Regimental number | 3407 |
| Place of birth | Staffordshire England |
| Religion | Roman Catholic |
| Occupation | Civil servant |
| Address | 5th Fitzgerald Street, Northam, WA |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Kathleen Francis Phillips, Fitzgerald Street, Northam, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Unit name | 10th Light Horse Regiment, 29th Reinforcement |
| AWM Embarkation Roll number | 10/15/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A17 Port Lincoln on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Light Horse Regiment |
| Fate | Demobilised |
| Medals |
Meritorious Service Medal Source: 'Commonwealth Gazette' No. 113 Date: |