| Regimental number | 217 |
| Religion | Church of England |
| Occupation | Miner |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs J Phillips, 36 Market Street, Moonee Ponds, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, E Company |
| AWM Embarkation Roll number | 23/33/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |