| Regimental number | 2761 |
| Place of birth | Manchester England |
| Religion | Church of England |
| Occupation | Seaman |
| Address | Melbourne GPO, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Elizabeth Phillips, 8 Dum Street, City Road, Hulme, Manchester, England, Ce |
| Enlistment date | 14 July 1916 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/75/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 25 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 5 April 1919 |
