| Regimental number | 742 |
| Place of birth | Goulburn New South Wales |
| Religion | Methodist |
| Occupation | Engine cleaner |
| Address | 2 Railway Cottage, Narrabri, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, G Lewis, 2 Railway Cottage, Narrabri, New South Wales |
| Enlistment date | 3 March 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, B Company |
| AWM Embarkation Roll number | 23/34/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A32 Themistocles on 12 May 1915 |
| Fate | No details of fate entered on Nominal Roll |
