| Regimental number | 4199 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Bookbinder |
| Address | 390 Vicstreet, Darlinghurst, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E Lewis, 390 Vicstreet, Darlinghurst, Sydney, New South Wales |
| Enlistment date | 8 September 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A6 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Field Ambulance |
| Fate | Returned to Australia 19 April 1919 |
