| Regimental number | 5777 |
| Place of birth | Port Fairy Victoria |
| Religion | Baptist |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs M Willsher, Grasmere near Warrnambool, Victoria |
| Enlistment date | 11 February 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A33 Ayrshire on 3 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia 15 May 1919 |
