| Regimental number | 605 |
| Religion | Church of England |
| Occupation | Painter |
| Address | Empress Road, Surrey Hills, Victoria |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs J Ellison, Empress Road, Surrey Hills, Victoria |
| Enlistment date | 26 October 1914 |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, Reinforcement 1 |
| AWM Embarkation Roll number | 26/44/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on 22 December 1914 |
| Miscellaneous details (Nominal Roll) | see other |
