| Regimental number | 7500 |
| Place of birth | Euroa Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Narranderra, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs. C. Lake, Audley Street, Narrandera, New South Wales |
| Enlistment date | 10 April 1917 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 25th Reinforcement |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board H.M.A.T. A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 12 December 1918 |
