| Regimental number | 16379 |
| Place of birth | Footscray Victoria |
| Religion | Church of England |
| Occupation | Railway clerk |
| Address | Moonee Ponds, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Gertie Dorris Lewellin, 27 Homer Street, Moonee Ponds, Victoria |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 3, Reinforcement 6 |
| AWM Embarkation Roll number | 22/13/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 4th Divisional Signal Company |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Fawkner Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
