| Regimental number | 3213 |
| Place of birth | Bright Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 1 Carroll Street, North Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Mary Willis, 1 Carroll Street, North Melbourne, Victoria |
| Enlistment date | 22 September 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Pioneer Battalion, Reinforcement 7 |
| AWM Embarkation Roll number | 14/14/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Pioneer Battalion |
| Fate | Returned to Australia 3 July 1919 |