| Regimental number | 6564 |
| Place of birth | York Peninsula South Australia |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs M J Phillips, C/o L C Hayter, Dowerin, Western Australia |
| Enlistment date | 12 April 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A23 Suffolk on 10 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 15 February 1918 |
