| Regimental number | 4197 |
| Place of birth | Hull England |
| Religion | Church of England |
| Occupation | Marine fireman |
| Address | Harwood Island, Clarence River, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, G A Lewis, 46 Boulevard Anably Road, Hull Yorkshire, England |
| Enlistment date | 7 September 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 3 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 47th Battalion |
| Fate | Returned to Australia 31 March 1919 |
