| Regimental number | 38782 |
| Occupation | Driver |
| Next of kin | Father, A Willis, Church Street East, Onehunga |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 21st Reinforcements, E Company |
| Embarkation details | Unit embarked from Wellington on board Ulimaroa on |
| Sources | Nominal Roll Vol. 3: Roll 52, p. 19 |