| Regimental number | 67422 |
| Place of birth | Bega New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Wardell, Richmond River, New South Wales |
| Age at embarkation | 23 |
| Next of kin | Father, H Lewis, 'Menah', Miller Street, Bondi, Sydney, New South Wales |
| Enlistment date | 14 August 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 25 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Fate | No details of fate entered on Nominal Roll |
