| Regimental number | 3633 |
| Religion | Church of England |
| Occupation | Miner |
| Address | Petersham, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Father, T Lackey, 'Charlesville', Albert Street, Petersham, New South Wales |
| Enlistment date | 14 February 1916 |
| Rank on enlistment | Sapper |
| Unit name | |
| AWM Embarkation Roll number | 16/13/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Fate | No details of fate entered on Nominal Roll |
