| Regimental number | 1517 |
| Place of birth | Newcastle New South Wales |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Lambton Road, New Lambton, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs M A Lake, Lambton Road, New Lambton, New South Wales |
| Enlistment date | 13 February 1916 |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, Headquarters |
| AWM Embarkation Roll number | 23/50/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Corps School |
| Fate | Returned to Australia 20 June 1919 |
