| Regimental number | 5857 |
| Place of birth | Mornington Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | North Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Josephine Lewis, 101 Abbotsford Street, North Melbourne, Victoria |
| Enlistment date | 14 August 1916 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/41/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 24th Battalion |
| Fate | Returned to Australia 21 July 1917 |
