| Regimental number | 572 |
| Place of birth | Clarence Park South Australia |
| Religion | Church of England |
| Occupation | Bricklayer |
| Address | Forrest Avenue, Clarence Park, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, Henry F Lake, Forrest Avenue, Clarence Park, South Australia |
| Enlistment date | 5 September 1914 |
| Date of enlistment from Nominal Roll | 7 September 1914 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, E Company |
| AWM Embarkation Roll number | 23/29/1 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board Transport A2 Geelong on 20 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 7 November 1915 |
