| Regimental number | 4048 |
| Place of birth | Bendigo Victoria |
| Religion | Methodist |
| Occupation | Farm labourer |
| Address | Wagin, Western Australia |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Father, J R Willis, c/o E C Button, Mollinson Street, Bendigo, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A31 Ajana on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Albany Memorial Park Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
