| Regimental number | 6784 |
| Place of birth | Garraton New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Trafalgar, Western Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, J. Lake, Cornwell Street, Trafalgar via Boulder, Western Australia |
| Enlistment date | 31 July 1916 |
| Date of enlistment from Nominal Roll | 30 July 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A8 Argyllshire on 9 November 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 1 June 1919 |
