| Regimental number | 3938 |
| Place of birth | Yorkshire England |
| Religion | Church of England |
| Occupation | Grocer |
| Address | Co Operative Store, Collie, Western Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, M Lacy, 13 Mount Ephriam, Holgate York, England |
| Enlistment date | 23 August 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A31 Ajana on 22 December 1915 |
| Fate | No details of fate entered on Nominal Roll |
