| Regimental number | 2247 |
| Religion | Church of England |
| Occupation | Engineer rigger |
| Address | View Street, Annandale, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs. Alice Maud Ellis, View Street, Annandale, New South Wales |
| Enlistment date | 15 November 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/11/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |