| Regimental number | 3624 |
| Place of birth | Windsor England |
| Religion | Church of England |
| Occupation | Painter |
| Address | Brighton, Victoria |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs F A Ellis, 31 Rooding Street, Brighton, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/75/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Ormonde on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Cheltenham Memorial Park Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
