| Regimental number | 3078 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Electrician |
| Address | Marrickville, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Emily Louisa Lewis, 66 Atcheson Street, Crow's Nest, New South Wales |
| Enlistment date | 6 September 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/53/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 8 November 1918 |