| Regimental number | 5760 |
| Place of birth | Grafton New South Wales |
| Religion | Baptist |
| Occupation | Clerk, Public Service |
| Address | 97 Trafalgar Street, Stanmore, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Jane Ellem, 97 Trafalgar Street, Stanmore, Sydney, New South Wales |
| Previous military service | 12th Infantry |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 1, Reinforcement 14 |
| AWM Embarkation Roll number | 22/11/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Divisional Signal Company |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |