| Regimental number | 3002 |
| Place of birth | Macksville New South Wales |
| Religion | Methodist |
| Occupation | Labourer |
| Address | James Road, Bankstown, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Flora Jane Miriam Willis, James Road, Bankstown, New South Wales |
| Enlistment date | 29 May 1916 |
| Rank on enlistment | Private |
| Unit name | 54th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/71/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia 10 January 1918 |