| Regimental number | 37428 |
| Religion | Methodist |
| Occupation | Bank clerk |
| Address | Gundagai, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Rev Benjamin Lane, 'Ultoma', New Concord Road, Strathfield, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, Reinforcement 30 |
| AWM Embarkation Roll number | 13/128/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on |
| Fate | No details of fate entered on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
