| Regimental number | 3176 |
| Place of birth | Sunderland England |
| Religion | Roman Catholic |
| Occupation | Seaman |
| Address | 5 Cambridge Terrace, Sunderland, England |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs E Lackenby, 10 Clara Street, Erskineville, New South Wales |
| Enlistment date | 15 September 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 20 December 1915 |
| Fate | No details of fate entered on Nominal Roll |
