| Regimental number | 17552 |
| Place of birth | Hill End New South Wales |
| Religion | Church of England |
| Occupation | Tram driver |
| Address | Enfield, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs L A M Ellis, 'Alma', Heydon Street, Enfield, New South Wales |
| Enlistment date | 29 May 1916 |
| Date of enlistment from Nominal Roll | 19 May 1916 |
| Rank on enlistment | Private |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| 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 | 2nd Field Ambulance |
| Fate | Returned to Australia 16 December 1917 |
