| Regimental number | 6574 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Printer |
| Address | 41 Baker Street, Richmond, Victoria |
| Marital status | Married |
| Age at embarkation | 18 |
| Next of kin | Wife, Mrs A F Phillips, 192 Bridge Road, Richmond, Victoria |
| Enlistment date | 16 March 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 4 May 1917 |
