| Regimental number | 60476 |
| Place of birth | Fish River Creek New South Wales |
| Religion | Methodist |
| Occupation | Riveter |
| Address | Merrylands, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs M E Lewis, Wright Street, Merrylands, New South Wales |
| Enlistment date | 24 June 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 17 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A41 Bakara on 4 September 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | ABD |
| Fate | Returned to Australia 22 July 1919 |
