| Regimental number | 4128 |
| Place of birth | Castlemaine, Victoria |
| Religion | Church of England |
| Occupation | String Maker |
| Address | 361 Dorcas Street, South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs H Lewis, 36l Dorcas Street, South Melbourne, Victoria |
| Enlistment date | 31 July 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on 29 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Effective abroad (still overseas) |
| Other details | Medals: British War Medal, Victory Medal |