| Regimental number | 2404 |
| Place of birth | Southend England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Corner of Wright and Clarence Streets, Katanning, Western Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Elizabeth Lacey, Luncisroad, Pelsen, Essex, England |
| Enlistment date | 24 May 1915 |
| Unit name | 12th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A51 Chilka on 18 June 1915 |