| Regimental number | 1616 |
| Place of birth | Warwick Queensland |
| Religion | Methodist |
| Occupation | Labourer |
| Address | South Street, Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Charles Lewis, South Street, Toowoomba, Queensland |
| Enlistment date | 23 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/7/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on 30 November 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd D amm Col |
| Fate | Returned to Australia 4 June 1919 |
