| Regimental number | 22196 |
| Place of birth | Exter England |
| Religion | Congregational |
| Occupation | Electrical mechanic |
| Address | 64 Berry Street, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs E Ellis, 12 Prospect Park, Exeter, Devon, England |
| Enlistment date | 4 December 1917 |
| Date of enlistment from Nominal Roll | 4 December 1917 |
| Rank on enlistment | Sapper |
| Unit name | Engineering Field Companies, General Reinforcements |
| AWM Embarkation Roll number | 14/42/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A34 Persic on 21 March 1918 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 19th Depot Unit of Supply |
| Fate | Returned to Australia 25 September 1919 |
