| Regimental number | 2141 |
| Place of birth | Magill South Australia |
| Religion | Salvation Army |
| Occupation | Labourer |
| Address | New Hindmarsh, South Australia |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Adelaide Willis, Gawler Avenue, New Hindmarsh, South Australia |
| Enlistment date | 4 October 1915 |
| Rank on enlistment | Private |
| Unit name | 32nd Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/49/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A28 Miltiades on 7 February 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |