| Regimental number | 1564 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Moulder |
| Address | 129 Wakefield Street, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs. Sarah Jane Lewis, 129 Wakefield Street, Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/14/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A2 Geelong on |
| Regimental number from Nominal Roll | 1564A |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 12th Field Artillery Brigade |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | See CARR the true family name |