| Regimental number | 1250 |
| Place of birth | Goondiwindi Queensland |
| Religion | Roman Catholic |
| Occupation | Drover |
| Address | Albion Street, Warwick |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs. Mary Lewis, Albion Street, Warwick |
| Enlistment date | 6 June 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 9th Reinforcement |
| AWM Embarkation Roll number | 10/7/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A33 Ayrshire on 1 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Fate | Effective abroad (still overseas) |
