| Regimental number | 5756 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Plumber |
| Address | Second Street, Wentworthville, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs G H Lane, Second Street, Wentworthville, New South Wales |
| Enlistment date | 28 December 1914 |
| Rank on enlistment | Driver |
| Unit name | Light Horse Brigade Train 2, Reinforcement 5 |
| AWM Embarkation Roll number | 25/96/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 10 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd AASC |
| Fate | Returned to Australia 8 April 1919 |
