| Regimental number | 2204 |
| Place of birth | Wales England |
| Religion | Church of England |
| Occupation | Teamster |
| Address | Greenthorpe, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Mary Ann Lewis, 6 Sandfield Place, Marsh Lane, Bootle, Liverpool, England |
| Enlistment date | 22 March 1916 |
| Rank on enlistment | Private |
| Unit name | 56th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/73/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 4 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 23 June 1919 |
