| Regimental number | 822 |
| Place of birth | Box Hill, Victoria |
| Religion | Baptist |
| Occupation | Student |
| Address | Bank Street, Box Hill |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, W H G E Ellingworth, Bank Street, Box Hill |
| Enlistment date | |
| Rank on enlistment | Staff Sergeant |
| Unit name | 3rd Light Horse Field Ambulance |
| AWM Embarkation Roll number | 26/41/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A51 Chilka on |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 3rd Light Horse Field Ambulance |
| Recommendations (Medals and Awards) |
Unspecified Recommendation date: Mention in Despatches Recommendation date: |
| Fate | Returned to Australia |