| Regimental number | 2107 |
| Place of birth | Nanango, Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | North Gayndah via Maryborough, Queensland |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Sister, Mrs Francis Ann Neilsen, North Gayndah via Maryborough, Queensland |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/59/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Pioneer Battalion |
| Fate | Killed in Action |
| Place of death or wounding | Ploegsteert, Messines Battle, Belgium |
| Age at death | 45 |
| Age at death from cemetery records | 45 |
| Place of burial | Strand Military Cemetery (Plot II, Row E, Grave No. 4), Ploegsteert, Belgium |
| Panel number, Roll of Honour, Australian War Memorial | 173 |
| Miscellaneous information from cemetery records | Parents: Mr C.E. and Mrs M.A. LAKE. Native of Nanango, Queensland |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
