| Regimental number | 1996 |
| Place of birth | Bathurst New South Wales |
| Religion | Methodist |
| Occupation | Labourer |
| Address | 114 Victoria Road, Marrickville, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mrs R Phillpoot, 114 Victoria Road, Marrickville, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on |
| Regimental number from Nominal Roll | 1996A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |