| Regimental number | 1979 |
| Place of birth | Cumberland New South Wales |
| Religion | Presbyterian |
| Occupation | Joiner |
| Address | Henden 21 Temple Street, Stanmore, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs M Lange, Henden 21 Temple Street, Stanmore, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/30/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 45th Battalion |
| Promotions |
2nd Lieutenant Unit: Gen INF Reinf Promotion date: Lieutenant Unit: INF45 Promotion date: |
| Fate | Returned to Australia |