| Regimental number | 14653 |
| Place of birth | Geraldton Western Australia |
| Religion | Church of England |
| Occupation | Store assistant |
| Address | Geraldton, Western Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs H Lewis, Geraldton, Western Australia |
| Enlistment date | 29 November 1915 |
| Rank on enlistment | Private |
| Unit name | May 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A48 Seang Bee on 18 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Field Ambulance |
| Fate | Returned to Australia 11 January 1918 |
