| Regimental number | 3612 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 19 Comber Street, Paddington, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs M Willis, 19 Comber Street, Paddington, New South Wales |
| Enlistment date | 1 November 1915 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Regimental number from Nominal Roll | 3612A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Field Artillery Brigade |
| Fate | Returned to Australia 11 May 1919 |