| Regimental number | 3007 |
| Place of birth | Narrabri New South Wales |
| Religion | Church of England |
| Occupation | Coachdriver |
| Address | Roma, Queensland |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs. Jemima Lewis, George Street, P.O., Brisbane, Queensland |
| Enlistment date | 26 May 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 22nd Reinforcement |
| AWM Embarkation Roll number | 10/7/5 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A43 Barunga on 26 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | hq Anz Tng Cen |
| Fate | Returned to Australia 15 February 1918 |
