| Regimental number | 5094 |
| Place of birth | Chatham England |
| Religion | Roman Catholic |
| Occupation | Farm hand |
| Address | Bridgetown, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs M E Ellis, 3 Coolfin Road, Customs House, London E., England |
| Enlistment date | 28 January 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on 31 March 1916 |
