
| Regimental number | 5064 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Ironmoulder |
| Address | 70 Brandling Street, Alexandria, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs F Weatherburn, 70 Brandling Street, Alexandria, New South Wales |
| Previous military service | 23rd Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Killed in Action |
| Age at death from cemetery records | 21 |
| Place of burial | Dochy Farm New British Cemetery (Plot VIII, Row A, Grave No. 14), Belgium |
| Panel number, Roll of Honour, Australian War Memorial | 90 |
| Miscellaneous information from cemetery records | Son of Florence Ann WEATHERBURN, "Karnah" Canterbury Road, Campsie, New South Wales, and the late Samuel James TOLLIS. Native of Sydney, New South Wales |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |