| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | Manilla, New South Wales |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, K V Ellis, Manilla, New South Wales |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A45 Hessen on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |