| Regimental number | 817 |
| Place of birth | Broken Hill New South Wales |
| Religion | Church of England |
| Occupation | Bricklayer |
| Address | Twelfth Street, Bowden, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs E G Lane, Twelfth Street, Bowden, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 8, Reinforcement 15 |
| AWM Embarkation Roll number | 24/13/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Age at death | 52 |
| Place of burial | AIF Cemetery (Row 16, Grave 47), West Terrace, Adelaide, South Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
