| Regimental number | 4626 |
| Religion | Church of England |
| Occupation | Machinist |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs M E Lake, Gayndah, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A62 Wandilla on |
| Recommendations (Medals and Awards) |
Military Medal '(Near Le Barque, 25-26 February 1917) Great bravery while on patrol duty, assuming leadership in absence of officer.' Recommendation date: |
| Fate | No details of fate entered on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
