| Regimental number | 1058 |
| Place of birth | Windsor New South Wales |
| Religion | Church of England |
| Occupation | Carter |
| Address | Carlotta Street, Greenwich, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Friend, E W Lewis, Carlotta Street, Greenwich, Sydney, New South Wales |
| Enlistment date | 26 April 1916 |
| Date of enlistment from Nominal Roll | 3 April 1916 |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 1 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | abr Camp |
| Fate | Returned to Australia 8 September 1919 |
