| Regimental number | 11307 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Salesman |
| Address | South Yarra, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs M J Lane, 'Iolanthe', 47 Surrey Road, South Yarra, Victoria |
| Enlistment date | 23 May 1916 |
| Rank on enlistment | Motor Transport Driver |
| Unit name | 3rd Division Ambulance Workshop |
| AWM Embarkation Roll number | 26/107/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 3 June 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Ammunition Sub Park |
| Fate | Returned to Australia 10 March 1918 |