| Regimental number | 6138 |
| Place of birth | Fullarton South Australia |
| Religion | Church of England |
| Occupation | Farmer |
| Address | North Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Lily Ivy Phillis, Bower Street, Lower North Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front At time of death was a patient in Parkside Mental Hospital, South Australia. |
| Date of death | |
| Age at death | 74 |
| Place of burial | AIF Cemetery (Row 10. Grave 46), West Terrace, Adelaide, South Australia |