| Regimental number | 6923A |
| Religion | Church of England |
| Occupation | Hairdresser |
| Address | Korumburra, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Q Phillips, Shelcotts Road, Korumburra, Victoria |
| Enlistment date | 7 August 1917 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/40/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |