| Regimental number | 19659 |
| Place of birth | Coleraine Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Nyah, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs A K Willis, 79 Cromwell Road, South Yarra, Victoria |
| Enlistment date | 19 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 8, Battery 29 |
| AWM Embarkation Roll number | 13/36/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 8th Field Artillery Brigade |
| Fate | Returned to Australia 31 January 1918 |