| Regimental number | 29294 |
| Religion | Church of England |
| Occupation | Iron moulder |
| Address | 106 Whistler Street, Manly, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs J Ellingworth, 106 Whistler Street, Manly, Sydney, New South Wales |
| Enlistment date | 1 June 1916 |
| Rank on enlistment | Corporal |
| Unit name | Howitzer Brigade 117 |
| AWM Embarkation Roll number | 13/136/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 30 September 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
