| Regimental number | 4268 |
| Place of birth | Birkenhead England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | GPO Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs E Ellis, 25 Flornce Street, Birkenhead Cheshire, England |
| Enlistment date | 25 September 1915 |
| Date of enlistment from Nominal Roll | 25 September 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A54 Runic on 29 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 24 June 1916 |