| Regimental number | 18649 |
| Place of birth | Warnerville Victoria |
| Religion | Church of England |
| Occupation | Electrician |
| Address | Wollstonecraft, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, A J Willis, 'Kelvin', Hume Street, Wollstonecraft, New South Wales |
| Enlistment date | 30 April 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 9 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Field Ambulance |
| Fate | Returned to Australia 2 January 1919 |
