| Regimental number | 1772 |
| Place of birth | Warwick Queensland |
| Religion | Methodist |
| Occupation | Engine driver |
| Address | South Street, Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Charles lewis, South Street, Toowoomba, Queensland |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/7/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Division Ammunition Column |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
