| Regimental number | 5365 |
| Place of birth | Croydon New South Wales |
| Religion | Roman Catholic |
| Occupation | Joiner |
| Address | 'Cornella', Hugh Street, Ashfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Ellen Lackey, 'Cornella', Hugh Street, Ashfield, New South Wales |
| Enlistment date | 10 March 1916 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/37/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Fate | No details of fate entered on Nominal Roll |