| Regimental number | 4904 |
| Place of birth | Parkes New South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | C/o Mrs F Phillips, Peisley Street, Orange, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Sister, Mrs F Phillips, Peisley Street, Orange, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
