
| Regimental number | 3892 |
| Date of birth | |
| Place of birth | Mount Gambier, South Australia |
| School | Mount Gambier Public School, South Australia |
| Religion | Church of England |
| Occupation | Boilermaker |
| Address | Newport, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Sarah Elizabeth Lewis, corner of Gipps and Campbell streets, Port Fairy, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 30th Reinforcement |
| AWM Embarkation Roll number | 10/9/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Field Artillery Brigade |
| Fate | Killed in Action |
| Place of burial | Busigny Communal Cemetery Extension (Plot 8, Row C, Grave No. 46), France |
| Panel number, Roll of Honour, Australian War Memorial | 16 |
| Miscellaneous information from cemetery records | Parents: John and Annie LEWIS, Gipps and Campbell Streets, Port Fairy, Victoria. Native of Mount Gambier, South Australia |
| Other details | War service: France, Belgium. |