| Regimental number | 2055 |
| Place of birth | Montgomeryshire Wales |
| Religion | Baptist |
| Occupation | Labourer |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs. Annie Lewis, Brynhyfryd, Upper Cairns Terrace, Red Hill, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 14th Reinforcement |
| AWM Embarkation Roll number | 10/7/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 2nd Division Ammunition Column |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
