| Regimental number | 7083 |
| Place of birth | Burra South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Burra, South Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs E Villis, Burra Kooringa, South Australia |
| Enlistment date | 26 October 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A35 Berrima on 16 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 14 January 1919 |
