| Regimental number | 3065 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Ciarns, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, John Lawerence, Peeramon via Cairns, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 23rd Reinforcement |
| AWM Embarkation Roll number | 10/10/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on |
| Fate | No details of fate entered on Nominal Roll |