| Regimental number | 3795 |
| Place of birth | Kapunda South Australia |
| Religion | Congregational |
| Occupation | Engineering surveyor |
| Address | Semaphore, South Australia |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs E Lewis, Percy Street, Semaphore, South Australia |
| Enlistment date | 19 July 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Pioneer Battalion, Reinforcement 10 |
| AWM Embarkation Roll number | 14/17/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Pioneer Battalion |
| Fate | Returned to Australia 4 July 1919 |
