| Regimental number | 3661 |
| Place of birth | Goulburn New South Wales |
| Religion | Church of England |
| Occupation | School teacher |
| Address | Wallendbeen, Southern Line, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, Edwin Lewis, Wallendbeen, Southern Line, New South Wales |
| Enlistment date | 1 May 1917 |
| Date of enlistment from Nominal Roll | 13 April 1917 |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 33rd Reinforcement |
| AWM Embarkation Roll number | 10/11/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Signal Squadron |
| Fate | Returned to Australia 23 December 1918 |