| Regimental number | 5979 |
| Place of birth | Ulverstone Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Leven, Tasmania |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Mr W E Gillam, South Preston, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Recommendations (Medals and Awards) |
Military Medal Valuable services and personal bravery in rescuing wounded, carrying messages etc. (Boursies 9 April 1917). Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 174 Date: |
| Other details |
War service: Western Front Medals: Military Medal, British War Medal, Victory Medal |