| Regimental number | R13562 |
| Religion | Church of England |
| Occupation | Messenger |
| Address | Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs S J Lange, 81 Goulbourne Street, Hobart, Tasmania |
| Enlistment date | 15 October 1915 |
| Date of enlistment from Nominal Roll | 19 October 1915 |
| Rank on enlistment | Private |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 4 August 1917 |
| Regimental number from Nominal Roll | 13563 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Corps Reinforcements Camp |
| Fate | Returned to Australia 17 March 1919 |
