
| Regimental number | *1502 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Dimboola, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, W M Elliot, Dimboola, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/13/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT SS Hawkes Bay on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |