| Regimental number | 3457 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Military Road, Guildford, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, J Willis, Military Road, Guildford, New South Wales |
| Enlistment date | 2 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 2 November 1915 |
| Regimental number from Nominal Roll | 3457A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 10 April 1919 |
