| Regimental number | 59543 |
| Place of birth | Dubbo New South Wales |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | Petersham, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs A Lake, 51 Palace Street, Petersham, New South Wales |
| Enlistment date | 28 March 1918 |
| Date of enlistment from Nominal Roll | 14 March 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 13 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Artificer |
| Unit from Nominal Roll | 5th Motor Transport Company |
| Fate | Effective abroad (still overseas) |
