| Regimental number | 10566 |
| Place of birth | Maryborough Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Bacchus Marsh, Victoria |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs A C Phillips, Main Street, Bacchus Marsh, Victoria |
| Enlistment date | 24 July 1915 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 1, Reinforcement 13 |
| AWM Embarkation Roll number | 25/89/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 January 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 1st Field Artillery Brigade |
| Fate | Returned to Australia 9 February 1919 |
