| Regimental number | 50627 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Plumber |
| Address | Latrobe Street, East Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs A J Ellis, Latrobe Street, East Brisbane, Queensland |
| Enlistment date | 3 January 1918 |
| Date of enlistment from Nominal Roll | 3 January 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 1 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 8 May 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia 22 August 1919 |
