| Regimental number | 4733 |
| Place of birth | Inverell New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 123 Victoria Street, Darlinghurst, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs A Lewis, 123 Victoria Street, Darlinghurst, New South Wales |
| Enlistment date | 28 January 1916 |
| Date of enlistment from Nominal Roll | 27 January 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 13 April 1916 |
| Regimental number from Nominal Roll | 4733A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 19 June 1919 |
