| Regimental number | 40821 |
| Occupation | Labourer |
| Next of kin | Mother, Mrs A. Lake, 10 Curletts Road, Upper Riccarton, Christchurch |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 22nd Reinforcements, Canterbury Infantry Regiment, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 78 Navua on |
| Final rank | Private |
| Final unit | New Zealand Machine Gun Battalion |
| Fate | Killed in Action |
| Place of death or wounding | France |
| Age at death from cemetery records | 23 |
| Place of burial | Achiet-le-Grand-Communal Cemetery Extension (Plot III, Row D, Grave No 24), France |
| Miscellaneous information from cemetery records | Parents: Harry & Annie Lake, 10 Curletts Road, Upper Riccarton, Christchurch |
| Sources | Nominal Roll Vol. 3: Roll 55, p. 11 |