| Regimental number | 4380 |
| Religion | Methodist |
| Occupation | Carpenter |
| Address | Leichhardt, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs R Elliott, 'Maroni', Maida Street, Leichhardt, New South Wales |
| Previous military service | 41st Infantry |
| Enlistment date | 20 April 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Australian General Hospital |
| AWM Embarkation Roll number | 26/67/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 15 May 1915 |
| Miscellaneous details (Nominal Roll) | see other |
