| Regimental number | 4825 |
| Place of birth | Wallsend New South Wales |
| Religion | Baptist |
| Occupation | Labourer |
| Address | Main Road, Boolaroo, Newcastle, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs C N Lewis, Main Road, Boolaroo, Newcastle, New South Wales |
| Enlistment date | 28 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 5 July 1916 |
