| Regimental number | 1668 |
| Place of birth | Edwardstown South Australia |
| Religion | Church of England |
| Occupation | Draughtsman |
| Address | Petersburg, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Alice Amm Lewis, Petersburg, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/60/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | Australian Flying Corps |
| Promotions |
2nd Lieutenant Unit: Australian Flying Corps Promotion date: |
| Fate | Returned to Australia |