| Regimental number | 15723 |
| Place of birth | Oatlands, Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Cressy, Tasmania |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, J Ellis, Formasa, Cressy, Tasmania |
| Enlistment date | 15 April 1916 |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Port Melbourne on 21 October 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia 3 July 1919 |
