| Regimental number | 1465 |
| Place of birth | Malvern Victoria |
| Religion | Congregational |
| Occupation | Dentist Lds Bds |
| Address | Kooyon, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs W S Willis, 'Cromer', Power Street, Kooyong, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
