| Regimental number | 4643 |
| Place of birth | Geelong, Victoria |
| Religion | Church of England |
| Occupation | Skilled labourer |
| Address | 20 Weller Street, Geelong West, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs S A Ellis, Germantown PO, Germantown via Geelong, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 2, Reinforcement 7 |
| AWM Embarkation Roll number | 13/30/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Persia on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Field Artillery Brigade |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |