| Regimental number | 1791 |
| Place of birth | Sebastopol, Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Miss Alma Florence Ellsworth, 11 Rich Avon, Clarkson Street, Sebastopol, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, Richard Thomas Ellsworth, 11 Rich Avon, Clarkson Street, Sebastopol, Victoria |
| Enlistment date | 7 July 1915 |
| Date of enlistment from Nominal Roll | 7 July 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/14/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 11 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Light Horse Regiment |
| Fate | Effective abroad (still overseas) |
| Other details | Medals: British War Medal, Victory Medal |
| Date of death | 16 November 1951 |
| Age at death | 56 |
| Place of burial | Ballarat (New) Cemetery, Victoria |
