| Regimental number | 7484 |
| Place of birth | Sulphor Creek, Tasmania |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Burnie, Tasmania |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs M D Ellis, South Burnie, Tasmania |
| Enlistment date | 25 September 1916 |
| Date of enlistment from Nominal Roll | 25 September 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/29/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 40th Battalion |
| Fate | Returned to Australia 9 December 1918 |
