| Regimental number | 6372 |
| Place of birth | Northampton England |
| Religion | Church of England |
| Occupation | Canvasser |
| Address | 84 Willis Street, Ballarat East, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs C Willis, 50 Humffray Street, Ballarat East, Victoria |
| Enlistment date | 4 October 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 7 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 13 February 1917 |
| Date of death | 16 June 1933 |
| Place of burial | Ballarat New Cemetery |
