| Regimental number | 13312 |
| Place of birth | Richmond Victoria |
| Religion | Baptist |
| Occupation | Shipping clerk |
| Address | Coburg, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, G Lake, 45 Munro Street, Coburg, Victoria |
| Previous military service | 60th Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A63 Karoola on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Effective abroad (still overseas) |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Date of death |