| Regimental number | 910 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Warehouseman |
| Address | 61 Wittenoom Street, East Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs C Ellis, 61 Wittenoom Street, East Perth, Western Australia |
| Enlistment date | 14 September 1914 |
| Date of enlistment from Nominal Roll | 10 September 1914 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, H Company |
| AWM Embarkation Roll number | 23/29/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A7 Medic on 2 November 1914 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | Australian Army Ordnance Corps |
| Fate | Returned to Australia 23 October 1918 |
