| Regimental number | 40473 |
| Occupation | Railway employee |
| Next of kin | Father, Thomas Willis, 29 Mozley Avenue, Devonport, Auckland |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 24th Reinforcements (2nd Draft), Specialist Company, Machine Gun Section |
| Embarkation details | Unit embarked from Wellington on board HMNZT 82 Pakeha on |
| Sources | Nominal Roll Vol. 3: Roll 60, p. 13 |