| Regimental number | 2180 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Ourimbah Creek, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Thomas Elliot, same address |
| Enlistment date | 28 November 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/12/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
