| Regimental number | 3828 |
| Place of birth | Bega, New South Wales |
| Religion | Church of England |
| Occupation | Railway employee |
| Age at embarkation | 26.11 |
| Height | 5' 7" |
| Weight | 154 lbs |
| Previous military service | Nil |
| Place of enlistment | Holsworthy, New South Wales |
| Unit name | 19th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Regimental number from Nominal Roll | 3828A |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia |
| Discharge date | |
| Other details |
War service: Egypt, Western Front Commenced return to Australia on board HT 'Commonwealth', 13 April 1919; discharged, Sydney, 4 August 1919. Medals: British War Medal, Victory Medal |
| Sources | NAA: B2455, LEWIS Adam |