
| Regimental number | 4499 |
| Place of birth | Bussleton, Western Australia |
| Religion | Church of England |
| Occupation | Miner |
| Address | Greenbushes, Western Australia |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs H Elliott, 48 Subiaco Road, West Perth, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |