| Regimental number | 9568 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | 113 Wilson Street, Redfern, New South Wales |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, A Phillpot, 113 Wilson Street, Redfern, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian Auxiliary Hospital |
| Fate | Returned to Australia |