| Regimental number | 1058 |
| Place of birth | Biggleswade England |
| Religion | Church of England |
| Occupation | Pastoral student |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Annie Elliott, The Bungalow, Biggleswade, Bedford, England |
| Enlistment date | 5 February 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/10/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A63 Karoola on 12 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Returned to Australia 11 May 1916 |