| Regimental number | 1636 |
| Place of birth | Marborough Queensland |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Memerambi, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Delia Ellwood, Memerambi, Kingaroy Line, Queensland |
| Enlistment date | 11 January 1916 |
| Date of enlistment from Nominal Roll | 11 January 1916 |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on 20 April 1916 |
| Regimental number from Nominal Roll | 1636A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 15 June 1919 |
