| Place of birth | London England |
| Occupation | Grazier |
| Address | Mandalong, Dulwich Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | R Maney-Lake, Mandalong, Dulwich Hill, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 7th Light Horse Regiment, C Squadron |
| AWM Embarkation Roll number | 10/12/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A31 Ajana on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 7th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
