| Regimental number | 3184 |
| Place of birth | Ballarat, Victoria |
| Religion | Protestant |
| Occupation | Cabinetmaker |
| Address | 207 Ascot Street, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, William John Ellingsen, 207 Ascot Street, Ballarat, Victoria |
| Previous military service | 30th Infantry |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | 6th Field Ambulance, Section A |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A31 Ajana on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Field Ambulance |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |