| Regimental number | 2083 |
| Place of birth | Campbell Town, Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Bothwell, Tasmania |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Father, John Ellis, Steppes, Bothwell, Tasmania |
| Enlistment date | 17 July 1916 |
| Date of enlistment from Nominal Roll | 18 July 1916 |
| Rank on enlistment | Private |
| Unit name | 40th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/57/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A49 Seang Choon on 23 September 1916 |
| Regimental number from Nominal Roll | 2093A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 40th Battalion |
| Fate | Returned to Australia 12 May 1918 |
