| Regimental number | 2180 |
| Place of birth | Taree New South Wales |
| Religion | Methodist |
| Occupation | Hairdresser |
| Address | Manning Street, Taree |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Martha Phoebe Lewis, Taree, New South Wales |
| Enlistment date | 5 May 1916 |
| Rank on enlistment | Private |
| Unit name | 35th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/52/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 11 May 1919 |
