| Regimental number | 2804 |
| Place of birth | Geelong, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs Sarah Ann Ellis, Grovedale PO, Grovedale, Geelong, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 3rd Pioneer Battalion, Reinforcement 5 |
| AWM Embarkation Roll number | 14/15/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Field Company Engineers |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Rookwood Crematorium |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
