| Regimental number | 1842 |
| Place of birth | Hobart Tasmania |
| Religion | Church of England |
| Occupation | Broommaker |
| Address | 6 Chaple Street, Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs P C Lewis, 6 Chaple Street, Hobart, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A8 Argyllshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Recommendations (Medals and Awards) |
Military Medal 'Work near Proyart 23-26 August 1918.' Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 109 Date: |