| Regimental number | 3363 |
| Place of birth | Newcastle New South Wales |
| Religion | Baptist |
| Occupation | Miner |
| Address | Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, A Lewis , Hill Street, Plattsburg, Newcastle, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/30/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A17 Port Lincoln on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 29th Company, Australian Army Service Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
