| Regimental number | +3783 |
| Place of birth | Hobart Tasmania |
| Religion | Baptist |
| Occupation | Piano trade |
| Address | 344 Murray Street, Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, W Lake, 344 Murray Street, Hobart, Tasmania |
| Enlistment date | 13 March 1915 |
| Date of enlistment from Nominal Roll | 12 March 1915 |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade 7, Field Ambulance 7, Section C |
| AWM Embarkation Roll number | 26/50/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A11 Ascanius on 25 May 1915 |
| Regimental number from Nominal Roll | 3783 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 25 February 1919 |
