| Regimental number | 5124 |
| Place of birth | Sydney New South Wales |
| Religion | Congregational |
| Occupation | Grocer |
| Address | Douglas Street, Dulwich Hill, Sydney, New South Wales |
| Marital status | Divorced |
| Age at embarkation | 25 |
| Next of kin | Father, J J Lavender, Douglas Street, Dulwich Hill, Sydney, New South Wales |
| Enlistment date | 9 December 1915 |
| Date of enlistment from Nominal Roll | 3 January 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 4 May 1917 |
