| Regimental number | 15479 |
| Place of birth | Hobart Tasmania |
| Religion | Church of England |
| Occupation | Gardener |
| Address | Hobart, Tasmania |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs Marion Ivy Lewis, c/o Mrs Dell, Railton, Tasmania |
| Enlistment date | 27 April 1916 |
| Rank on enlistment | Sapper |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 14/42/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Field Company Engineers |
| Fate | Returned to Australia 12 May 1918 |
