| Regimental number | 209 |
| Religion | Church of England |
| Occupation | Cook |
| Address | C/o Miss E Lewis, 9 Givian Terrace, Paddington, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Cousin, Miss E Lewis, 9 Givian Terrace, Paddington, Brisbane, Queensland |
| Enlistment date | 20 October 1915 |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, A Company |
| AWM Embarkation Roll number | 23/50/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 5 March 1919 |
