| Regimental number | 148 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Rockhampton, Queensland |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Father, W Willis, Langherne Road, Worcester, England |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/19/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 13 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 17 March 1919 |
