| Regimental number | 21812 |
| Place of birth | Stepney England |
| Religion | Church of England |
| Occupation | Contractor |
| Address | c/o J.H. McDonald, PO, Fitzroy, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs I. Lewin, 33 Regent Street, Ascot Vale, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Engineering Field Companies, General Reinforcements |
| AWM Embarkation Roll number | 14/42/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Draft Field Company Engineers |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
