| Regimental number | 1213 |
| Religion | Church of England |
| Occupation | Coal lumper |
| Address | Snk |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Brother, William Gilliam, 4 Watkin Road, South Norwood, England |
| Enlistment date | 2 July 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 8th Reinforcement |
| AWM Embarkation Roll number | 10/12/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on 28 July 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |