| Regimental number | 60119 |
| Place of birth | South Grafton New South Wales |
| Religion | Methodist |
| Occupation | Farmer |
| Address | South Grafton, New South Wales |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs E E Ellis, Coutt's Crossing, South Grafton, New South Wales |
| Enlistment date | 30 April 1918 |
| Date of enlistment from Nominal Roll | 26 April 1916 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 15 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Gaika on 30 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Division Train |
| Fate | Returned to Australia 9 August 1919 |