| Regimental number | 19619 |
| Place of birth | Redfern New South Wales |
| Religion | Church of England |
| Occupation | Telegraphist |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Florence Lewis, 11 Bourke Crescent, Daceyville, Sydney, New South Wales |
| Enlistment date | 9 March 1917 |
| Date of enlistment from Nominal Roll | 9 March 1917 |
| Rank on enlistment | Sapper |
| Unit name | 1st-4th Signal Troops - August, 1917, Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 5 March 1919 |
