| Regimental number | 3106 |
| Place of birth | Burnley Victoria |
| Religion | Church of England |
| Occupation | Salesman |
| Address | Burnley, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Emma Jane Lake, 62 Edinburgh Street, Burnley, Victoria |
| Enlistment date | 18 September 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 24th Reinforcement |
| AWM Embarkation Roll number | 10/9/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 6 December 1916 |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 6th Field Artillery Brigade |
| Fate | Returned to Australia 4 June 1919 |
