| Regimental number | 1083 |
| Place of birth | Wallan Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Wallan, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs. Ellen Lewis, Wallan, Victoria |
| Enlistment date | 11 December 1914 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 8th Reinforcement |
| AWM Embarkation Roll number | 10/14/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A55 Kyarra on 20 August 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Light Horse Regiment |
| Fate | Returned to Australia 4 November 1915 |