| Regimental number | 3824 |
| Place of birth | Perth, Western Australia |
| Religion | Church of England |
| Occupation | Ironmonger |
| Address | North Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Ellen Ellefsen, 36 Colin Crescent, North Perth, Western Australia |
| Enlistment date | 27 October 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 12 February 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |