| Regimental number | 4804 |
| Place of birth | Winton Queensland |
| Religion | Roman Catholic |
| Occupation | Drover |
| Address | Stewart Street, Mullumbimby, Brunswick River, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs M G Ellis, Stewart Street, Mullumbimby, Brunswick River, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |