| Regimental number | 11064 |
| Place of birth | Australia |
| Occupation | Labourer |
| Next of kin | Father, Charles Lewis, Cooma, New South Wales, Australia |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 6th Reinforcements to 1st Battalion, E Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 51 Ulimaroa on |
| Sources | Nominal Roll Vol. 2: Roll 30, p. 19 |