| Regimental number | 67419 |
| Place of birth | Charlton Victoria |
| Religion | Presbyterian |
| Occupation | Farmer |
| Address | Munyabla via Henty, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs E M Lazarus, Munyabla via Henty, New South Wales |
| Enlistment date | 6 July 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 25 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Fate | No details of fate entered on Nominal Roll |
