| Regimental number | 1759 |
| Religion | Roman Catholic |
| Occupation | Stockman |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Christina Lake, 283 Alma Street, Rockhampton, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia |
| Discharge date | |
| Other details |
War service: Western Front Wounded in action, 4 September 1919. Medals: British War Medal, Victory Medal |