| Regimental number | 7366 |
| Place of birth | St Kilda Victoria |
| Religion | Church of England |
| Occupation | Cook |
| Address | St Kilda, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs M Lewis, 21 Pakington Street, St Kilda, Victoria |
| Enlistment date | 29 November 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 24th Reinforcement |
| AWM Embarkation Roll number | 23/24/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 19 February 1917 |
| Regimental number from Nominal Roll | 7365 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Battalion |
| Fate | Returned to Australia 26 September 1917 |
