| Regimental number | 19 |
| Place of birth | Carmarthen Wales |
| Religion | Church of England |
| Occupation | Engineer and fitter |
| Address | 55 Dennison Street, Waverley, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Mary May Ellis, 55 Dennison Street, Waverley, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Driver |
| Unit name | 1st Light Horse Regiment, Headquarters |
| AWM Embarkation Roll number | 10/6/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star Of Victoria on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
