| Regimental number | 17901 |
| Place of birth | Goorambat, Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Goorambat, Victoria |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Father, C Ellis, Goorambat, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
