| Regimental number | 58788 |
| Place of birth | Clifton New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Whitton, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs L A Ellesmere, Farm 880, Whitton, New South Wales |
| Enlistment date | 17 April 1918 |
| Rank on enlistment | Private |
| Unit name | 10th General Service (NSW) Reinforcements |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 34th Battalion |
| Fate | Returned to Australia 10 December 1918 |
