| Regimental number | 1149 |
| Place of birth | Suffolk England |
| Religion | Church of England |
| Occupation | Miner |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Uncle, Walter Lewis, Brook Farm, Strabbon Ipswich, England |
| Enlistment date | 29 September 1914 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/28/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 22 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia 8 October 1918 |
| Date of death | 22 October 1950 |
| Place of burial | Karrakatta Cemetery |
