| Regimental number | 1052 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Station hand |
| Address | c/o W.H. Willoughby, 10 Henderson Street, South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Step-Father, W.W. Willoughby, 10 Henderson Street, South Melbourne, Victoria |
| Enlistment date | 20 January 1915 |
| Date of enlistment from Nominal Roll | 21 January 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/11/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A65 Clan Mcewen on 28 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Light Horse Regiment |
| Fate | Returned to Australia 11 April 1916 |
