| Regimental number | 16644 |
| Place of birth | Molong New South Wales |
| Religion | Presbyterian |
| Occupation | Sanitary inspector |
| Address | Woolstonecraft, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs J B Lane, c/o Mrs C V Witt, 'Lockiel', Shirley Road, Woolstonecraft, New South Wales |
| Enlistment date | 22 December 1915 |
| Rank on enlistment | Private |
| Unit name | January 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 10 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 31 January 1918 |
