| Regimental number | 1972 |
| Religion | Church of England |
| Occupation | Miner |
| Address | Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs John Lake, 101 Clancy Street, Boulder, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/28/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A20 Hororata on |
| Fate | No details of fate entered on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
