| Regimental number | 1631 |
| Place of birth | Bourke New South Wales |
| Religion | Church of England |
| Occupation | Dairyman |
| Address | Penrith, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, Henry Lack, Dairyman, Penrith, New South Wales |
| Enlistment date | 27 January 1916 |
| Rank on enlistment | Private |
| Unit name | 45th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/62/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 20 November 1918 |
