| Regimental number | 1417 |
| Place of birth | Inglewood Queensland |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Brunswick Street, New Farm, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, T Lake, Brunswick Street, New Farm, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/10/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A47 Mashrobra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th ALH C Sqd |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Kalbar Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
