| Regimental number | 4565 |
| Place of birth | Goulburn New South Wales |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | Frederick Street, Sans Souci, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs S J Wills, Frederick Street, Sans Souci, New South Wales |
| Enlistment date | 21 November 1915 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Lance Sergeant |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 16 December 1917 |
