| Regimental number | 4169 |
| Place of birth | Kent England |
| Religion | Church of England |
| Occupation | Steward |
| Address | Chadd Street, Yatala, South Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister, Miss E H Ellis, Chadd Street, Yatala, South Australia |
| Enlistment date | 25 August 1915 |
| Date of enlistment from Nominal Roll | 11 August 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 11 January 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 12 May 1919 |
