| Regimental number | 7612 |
| Place of birth | Fitzroy Victoria |
| Occupation | Bootmaker |
| Address | Collingwood, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs E Willis, 54 Easy Street, Collingwood, Victoria |
| Enlistment date | NO ENTRY |
| Date of enlistment from Nominal Roll | 30 May 1917 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/22/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 4 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 38th Battalion |
| Fate | Returned to Australia 19 October 1918 |