| Regimental number | 1236 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Fitter's assistant |
| Address | 'Ebenezar', Kembla Street, Enfield, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs R F V Lewis, Burwood Road, Burwood, New South Wales |
| Enlistment date | 26 May 1916 |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 2 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia --/07/1919 |
