| Regimental number | 3072 |
| Place of birth | Narrabri New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Kangaroo Point, Queensland |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Elizabeth Lewis, Thomas Street, Kangaroo Point, Queensland |
| Enlistment date | 27 December 1916 |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/59/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 42nd Battalion |
| Fate | Returned to Australia 26 September 1917 |
