| Regimental number | R232 |
| Religion | Church of England |
| Occupation | Cabinetmaker |
| Address | Burnley, Victoria |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs H Lacey, 8 Manton Street, Burnley, Victoria |
| Enlistment date | 12 July 1915 |
| Date of enlistment from Nominal Roll | 11 July 1915 |
| Rank on enlistment | Warrant Officer (Class I) |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Napier on 17 November 1916 |
| Regimental number from Nominal Roll | 232 |
| Rank from Nominal Roll | Warrant Officer |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 22 July 1917 |
