| Regimental number | 1779 |
| Place of birth | Windsor New South Wales |
| Religion | Church of England |
| Occupation | Bridge carpenter |
| Address | 45 Balmain Road, Leichhardt, New South Wales |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs Eveline Ann Willis, 45 Balmain Road, Leichhardt, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/12/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A34 Persic on |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
