| Regimental number | 3858 |
| Place of birth | Waterloo Victoria |
| Religion | Methodist |
| Occupation | Linesman |
| Address | Waterloo, via Beaufort, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, A Lyons, Waterloo, via Beaufort, Victoria |
| Enlistment date | 9 September 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 31 December 1918 |
