| Regimental number | 1987 |
| Place of birth | Picton New South Wales |
| Religion | Church of England |
| Occupation | Carrier |
| Address | Bowral, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, George Willis, Glenquarrie, Bowral, New South Wales |
| Enlistment date | 15 February 1916 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/72/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A37 Barambah on 23 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | mg Battalion |
| Fate | Returned to Australia 9 March 1919 |