| Regimental number | 8078 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Fireman |
| Address | 31 Edgeware Road, Enmore, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, W H Lane, 31 Edgeware Road, Enmore, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital, Special Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A17 Port Lincoln on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian General Hospital |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |