| Regimental number | 3966 |
| Place of birth | Buraga New South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | c/o T Lewis, Kogarah West, near Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mrs Barrett, c/o T Lewis, Kogarah West, near Sydney, New South Wales |
| Enlistment date | 20 March 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Field Ambulance 1st Reinforcements, C Section |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A11 Ascanius on 24 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Field Ambulance |
| Fate | Returned to Australia 11 December 1918 |
