| Regimental number | 807 |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | Green Street, Ivanhoe, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs J C Willis, Green Street, Ivanhoe, Victoria |
| Enlistment date | 24 November 1914 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 3rd Reinforcement |
| AWM Embarkation Roll number | 10/6/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A6 Clan Mccorquodale on 6 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Light Horse Regiment |
| Fate | Returned to Australia 17 August 1916 |