| Regimental number | 6548 |
| Place of birth | Warracknabeal Victoria |
| Religion | Baptist |
| Occupation | Contractor |
| Address | 45 Munro Street, Coburg, Victoria |
| Marital status | Widower |
| Age at embarkation | 25 |
| Next of kin | Father, G. Lake, 45 Munro Street, Coburg, Victoria |
| Enlistment date | 14 July 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 12 June 1919 |