
| Regimental number | 21521 |
| Place of birth | Orange New South Wales |
| Religion | Methodist |
| Occupation | Station master, railways |
| Address | Daceyville, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Elsie Ada Phillp, 10 Endeavor Road, Daceyville, New South Wales |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Signallers, Special Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board A71 Nestor on |