| Regimental number | 5108 |
| Place of birth | Millthorpe New South Wales |
| Religion | Methodist |
| Occupation | Grocer |
| Address | Ferndale, Millthorpe, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, M Willis, Ferndale, Millthorpe, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |