| Regimental number | 2709 |
| Place of birth | Timaru New Zealand |
| Religion | Church of England |
| Occupation | Seaman |
| Address | 66 Pine Street, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs A C Lewis c/o Miss S Anderson, Rulima Street, Merrylands, Sydney, New South Wales |
| Enlistment date | 1 August 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 2 November 1915 |
| Fate | No details of fate entered on Nominal Roll |
