| Regimental number | 6906 |
| Place of birth | Adelaide South Australia |
| Religion | Church of Christ |
| Occupation | General labourer |
| Address | Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs E Lewis, c/o GPO, Adelaide, South Australia |
| Enlistment date | 13 February 1917 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/43/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Effective abroad (still overseas) |
