| Regimental number | 21168 |
| Occupation | Farmer |
| Next of kin | Wife, Mrs H T E Willis, c/o Mrs Hewitt, 12 Church Street, Palmerston North |
| Rank on embarkation | 2nd Lieutenant |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade Reinforcements, H Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Ruapehu on |
| Sources | Nominal Roll Vol. 3: Roll 57, p. 31 |