| Regimental number | 2176 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | Petersham, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Beatrice Matilda Lake, 69 Morgan Street, Petersham, New South Wales |
| Enlistment date | |
| Rank on enlistment | 2nd Air Mechanic |
| Unit name | July 1917 Reinforcements |
| AWM Embarkation Roll number | 8/15/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | aircraft Repair Sec 1st Wing AFC |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
