| Regimental number | 2372 |
| Place of birth | Tambo Queensland |
| Religion | Church of England |
| Occupation | Well borer |
| Address | Tambo, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, Charles Lewis, Glenleigh, Western Queensland |
| Enlistment date | 27 February 1917 |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, 19th Reinforcement |
| AWM Embarkation Roll number | 10/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 9 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Light Horse Regiment |
| Fate | Returned to Australia 20 July 1919 |
