| Regimental number | 11879 |
| Place of birth | Armidale England |
| Religion | Church of England |
| Occupation | Chemist |
| Address | S Grafton, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, John Lane, Public School, South Grafton, New South Wales |
| Enlistment date | 11 September 1915 |
| Rank on enlistment | Staff Sergeant (Dispenser) |
| Unit name | Field Ambulance 9, Section A |
| AWM Embarkation Roll number | 26/52/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 11 May 1916 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 9th Field Ambulance |
| Fate | Returned to Australia 3 March 1919 |
