| Regimental number | 2190 |
| Religion | Roman Catholic |
| Occupation | Bushman |
| Address | c/o Mr Taylor, Heath Street, Birkenhead, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Kathlene Lake, c/o W H Lake, Cavalry Club, Piccadilly, London, W., England |
| Enlistment date | 4 March 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/27/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 23 June 1915 |
