| Regimental number | 4596 |
| Place of birth | Smithfield New South Wales |
| Religion | Church of England |
| Occupation | Slaughterman |
| Address | Albert Street, Smithfield, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs A I Lewis, Albert Street, Smithfield, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 45th Battalion |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 116 Date: |