| Regimental number | 4380 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Carpenter |
| Address | 'Morona', Maida Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Rose Elliott, 'Morona', Maida Street, Sydney, New South Wales |
| Previous military service | 41st Infantry |
| Enlistment date | 20 April 1915 |
| Date of enlistment from Nominal Roll | 15 April 1915 |
| Rank on enlistment | Private |
| Unit name | No 3 Australian General Hospital |
| AWM Embarkation Roll number | 26/67/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 15 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Field Ambulance |
| Fate | Returned to Australia 15 May 1919 |
