| Regimental number | 6261 |
| Place of birth | Avoca, Victoria |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | 7 Braide Street, East Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Elizabeth Ellett, 7 Braide Street, East Perth, Western Australia |
| Enlistment date | 27 September 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Stationary Hospital 2, Reinforcement 11 |
| AWM Embarkation Roll number | 26/71/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A34 Benalla on 1 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Stationary Hospital |
| Fate | Returned to Australia 16 March 1919 |