| Regimental number | 4071 |
| Place of birth | Sydney New South Wales |
| Occupation | News vendor |
| Address | Woollahra, New South Wales |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs Ivy Lane, 2 Spicer Street, Woollahra, New South Wales |
| Enlistment date | 4 May 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 23 September 1919 |
