| Regimental number | 1465 |
| Place of birth | Penrith New South Wales |
| Religion | Church of England |
| Occupation | Stockman |
| Address | Goolgumbla, Jerilderie, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, L A Willis, Goolgumbla, Jerilderie, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 3 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
