| Regimental number | 6290 |
| Place of birth | Bulli New South Wales |
| Religion | Church of England |
| Occupation | Porter |
| Address | Narrandera, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Brother, Mr R W Lewis, Maitland Street, Abermain, New South Wales |
| Enlistment date | 18 February 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 7 February 1919 |
