| Regimental number | 5454 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Bricklayer |
| Address | 79 Thompson Street, South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Isabella Emma Lewis, 79 Thompson Street, South Melbourne, Victoria |
| Enlistment date | 12 April 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 20 December 1917 |