| Regimental number | 2063 |
| Place of birth | Ballarat, Victoria |
| Religion | Methodist |
| Occupation | Saddler |
| Address | Sunshine, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Ellen J Ellingsen, Sunshine, Victoria |
| Enlistment date | 12 September 1915 |
| Date of enlistment from Nominal Roll | 26 September 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Light Horse Regiment, 14th Reinforcement |
| AWM Embarkation Roll number | 10/18/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 22 December 1916 |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 13th Field Artillery Brigade |
| Fate | Returned to Australia 8 July 1919 |
