| Regimental number | 2187 |
| Place of birth | N/A England |
| Religion | Church of England |
| Occupation | Storeman |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Ruby Lewis, 20 Jammerson Street, Sydney, New South Wales |
| Enlistment date | 16 January 1917 |
| Rank on enlistment | Private |
| Unit name | January 1917 Reinforcements Camel Corps |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Karmala on 3 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | l H Dtls |
| Fate | Returned to Australia 20 July 1919 |