| Regimental number | 5073 |
| Place of birth | Perth, Western Australia |
| Religion | Church of Christ |
| Occupation | Blacksmith |
| Address | Bena, Cumberland Road, Auburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, C Ellis, Cumberland Road, Auburn, New South Wales |
| Enlistment date | 12 January 1916 |
| Date of enlistment from Nominal Roll | 12 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Division Train |
| Fate | Returned to Australia 9 July 1919 |
