| Regimental number | 864 |
| Place of birth | Burringbar New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 'Warwick', Balaclava Road, Eastwood, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs E Ellis, 'Warwick', Balaclava Road, Eastwood, New South Wales |
| Previous military service | 6th AGA |
| Enlistment date | 28 October 1916 |
| Date of enlistment from Nominal Roll | 28 October 1916 |
| Rank on enlistment | Gunner |
| Unit name | Heavy Artillery Group 36, Reinforcement 10 |
| AWM Embarkation Roll number | 13/49/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 10 February 1917 |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 36th Heavy Artillery Brigade |
| Fate | Effective abroad (still overseas) |