| Regimental number | 4366 |
| Place of birth | Cape Town South Africa |
| Religion | Church of England |
| Occupation | Fitter |
| Address | Newcastle, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Annie Willis, Maitland Road, Mayfield, Newcastle, New South Wales |
| Enlistment date | 17 February 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Date of death | 22 April 1960 |
| Place of burial | Newcastle Memorial Park Cemetery & Crematorium |
