| Regimental number | 5159 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Tinsmith |
| Address | 177 Arundel Street, Forest Lodge, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, T Lewis, 177 Arundel Street, Forest Lodge, New South Wales |
| Enlistment date | 24 January 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 5 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 36th Battalion |
| Fate | Returned to Australia 22 July 1917 |