| Regimental number | 16864 |
| Place of birth | Lismore New South Wales |
| Religion | Church of England |
| Occupation | Dentist |
| Address | Glebe Point, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Jessie Barham, c/o Town Clerk, Lismore, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Camel Field Ambulance |
| AWM Embarkation Roll number | 26/60/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | Australian Dental Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
