| Regimental number | 30518 |
| Place of birth | Corowa New South Wales |
| Religion | Church of England |
| Occupation | Sub-artesian contractor |
| Address | 375 Punt Road, South Yarra, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs K L B Willis, 375 Punt Road, South Yarra, Victoria |
| Enlistment date | 28 June 1916 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 12, Reinforcement 8 |
| AWM Embarkation Roll number | 13/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia 15 June 1919 |
