| Regimental number | 4565 |
| Place of birth | Warrnambool Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs E Phillips, Allansford, Victoria |
| Enlistment date | 21 July 1915 |
| Date of enlistment from Nominal Roll | 31 August 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 25 August 1917 |
