| Regimental number | 17250 |
| Place of birth | Brisbane Queensland |
| Religion | Presbyterian |
| Occupation | Dental mechanic |
| Address | Red Hill, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, A Lillistone, Lower Cairns Terrace, Red Hill, Brisbane, Queensland |
| Enlistment date | 25 May 1917 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 2 January 1919 |
