| Regimental number | 1112 |
| Place of birth | Tiverton England |
| Religion | Church of England |
| Occupation | Vet assistant |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | ..., Mrs Thurza Willis, Square Close, Washfield Devon, England |
| Enlistment date | 30 September 1914 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, C Company |
| AWM Embarkation Roll number | 23/31/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A38 Ulysses on 22 December 1914 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 8 October 1918 |
