| Regimental number | 3004 |
| Place of birth | Murwillumbah New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Helidon, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Mr H Williams, Helidon, Queensland |
| Enlistment date | 8 January 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A35 Berrima on 23 December 1916 |
| Regimental number from Nominal Roll | 3004A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 30 January 1918 |