| Regimental number | 3867 |
| Place of birth | Carlingford Victoria |
| Religion | Presbyterian |
| Occupation | Clerk |
| Address | Mrs Agnes E Lewis, Hopetoun Road, Drouin, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Mrs J Lewis, Marion Farm, Drouin, Victoria |
| Enlistment date | 17 July 1915 |
| Date of enlistment from Nominal Roll | 28 July 1915 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on 8 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 16 October 1916 |
