| Regimental number | 6302 |
| Place of birth | Bridgeworth Tasmania |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Bridgenorth, West Tamar, Victoria |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs M Lack, Bridgenorth, West Tamar, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
