| Regimental number | 4510 |
| Place of birth | Birkenhead England |
| Religion | Methodist |
| Occupation | Sailor |
| Address | Little Denison Street, Carrington, New South Wales |
| Marital status | Widower |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs. C.E. Lewis, Little Denison Street, Carrington, New South Wales |
| Enlistment date | 25 August 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 5 April 1919 |