| Regimental number | 1935 |
| Place of birth | Cootamundra New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Cootamundra, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Maggie Lewis, Parker Street, Cootamundra, New South Wales |
| Enlistment date | 5 January 1916 |
| Rank on enlistment | Private |
| Unit name | 56th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/73/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A37 Barambah on 23 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 23 June 1919 |
