| Regimental number | 2679 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 10 Elizabeth Street, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Brother, James Lewis 27 Brisbane Street, Milson's Point, New South Wales |
| Enlistment date | 9 January 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/47/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Division Train |
| Fate | Returned to Australia 20 July 1919 |
