| Regimental number | 1961 |
| Place of birth | Stuart Mill Victoria |
| Religion | Roman Catholic |
| Occupation | Groom |
| Address | Victoria Hotel, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Father, John Willis, Farmers' Hotel, Doveton Street, Ballarat, Victoria |
| Enlistment date | 19 October 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Pioneer Battalion, Reinforcement 2 |
| AWM Embarkation Roll number | 14/15/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | NIG |
| Fate | Returned to Australia 19 October 1918 |
| Date of death | 7 February 1951 |
| Place of burial | Fawkner Cemetery |