| Regimental number | 5367 |
| Religion | Church of England |
| Occupation | Gas fitter |
| Address | 35 Carnac Street, Fremantle, Western Australia |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Evelyne Lewis, 35 Carnac Street, Fremantle, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Sapper |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 16/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on |
| Regimental number from Nominal Roll | 7164 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Reinforcements Tunnelling Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
