| Regimental number | 66025 |
| Place of birth | Tredegar New South Wales |
| Religion | Methodist |
| Occupation | Mechanic |
| Address | Merewether, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs E A Lewis, 36 Railway Street, Merewether, New South Wales |
| Enlistment date | 11 July 1918 |
| Rank on enlistment | Private |
| Unit name | 16th to 27th (NSW) Reinforcement |
| 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 | 4th Battalion |
| Fate | Returned to Australia 22 July 1919 |