| Regimental number | 665 |
| Place of birth | New Norfolk Tasmania |
| Religion | Church of England |
| Occupation | Seaman |
| Address | 39 Roy Street, Albert Park, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mrs M Lewis , 6 Chapel Street, Hobart, Tasmania |
| Enlistment date | 17 August 1914 |
| Rank on enlistment | Lance Corporal |
| Unit name | 5th Battalion, D Company |
| AWM Embarkation Roll number | 23/22/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A3 Orvieto on 21 October 1914 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Headquarters, Australian Base Depot |
| Fate | Returned to Australia 3 December 1918 |
