| Regimental number | 2409 |
| Religion | Church of England |
| Occupation | Traveller |
| Address | Brighton, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs F M Lewin, 1 Rusden Street, Elsternwick, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A28 Miltiades on |
| Fate | No details of fate entered on Nominal Roll |