| Regimental number | 5138 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Labourer |
| Address | 25 Club Street, Rozelle, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs. E. Lane, 25 Club Street, Rozelle, Sydney, New South Wales |
| Enlistment date | 19 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Australian Army Ordnance Corps |
| Fate | Returned to Australia 7 June 1918 |
