| Regimental number | 1758 |
| Place of birth | Longdon England |
| Religion | Church of England |
| Occupation | Orchardist |
| Address | c/o PO, Bridgetown, Western Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Caroline Ann Ellis, Highnam, Gloucester, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Star Of England on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Recommendations (Medals and Awards) |
Military Cross Recommendation date: |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
