| Regimental number | 6004 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Conductor |
| Address | 113 Wilton Street, Surry Hills, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs D M Ellis, 49 Abercrombie Street, Sydney, New South Wales |
| Enlistment date | 6 March 1916 |
| Date of enlistment from Nominal Roll | 6 March 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 12 June 1919 |
