| Regimental number | 4878 |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Marine Terrace, Geraldton |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Henrietta Lewis, Marine Terrace, Geraldton |
| Enlistment date | 29 April 1915 |
| Date of enlistment from Nominal Roll | 6 May 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Australian General Hospital, Special Reinforcements (Hospital and Convalescent Home) |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A62 Wandilla on 25 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 21 June 1919 |
