| Regimental number | 21263 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Bacteriologist |
| Address | Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs J M Ellis, 222 Edgecliffe Road, Woollahra, New South Wales |
| Enlistment date | 16 May 1918 |
| Date of enlistment from Nominal Roll | 16 March 1918 |
| Rank on enlistment | Sergeant |
| Unit name | Sea Transport Staff Sections 7-8 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Company Transport Staff |
| Fate | Effective abroad (still overseas) |
