| Regimental number | 4381 |
| Religion | Roman Catholic |
| Occupation | Male nurse |
| Address | Annandale, New South Wales |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs S Ellis, 260 Trafalgar Street, Annandale, New South Wales |
| Enlistment date | 20 April 1915 |
| Rank on enlistment | Staff Sergeant |
| Unit name | 3rd Australian General Hospital |
| AWM Embarkation Roll number | 26/67/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 15 May 1915 |
| Miscellaneous details (Nominal Roll) | see other |
