| Place of birth | Collingwood Victoria |
| Religion | Church of England |
| Occupation | School teacher |
| Address | Scott Street, Colac |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Edith A Lewis, Scott Street, Colac |
| Enlistment date | |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 13th Light Horse Regiment, Headquarters and Machine Gun Section |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board A34 Persic on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | 2nd Division Artillery |
| Recommendations (Medals and Awards) |
Mention in Despatches Not awarded. Recommendation date: |
| Fate | Returned to Australia |