| Regimental number | 626 |
| Place of birth | Chewton Victoria |
| Religion | Church of Christ |
| Occupation | Bootmaker |
| Address | Inglis Street, Ballan, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Mary Lacy, Castlemaine PO, Castlemaine, Victoria |
| Enlistment date | 22 January 1916 |
| Rank on enlistment | Private |
| Unit name | 37th Battalion, B Company |
| AWM Embarkation Roll number | 23/54/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 3 June 1916 |
| Fate | No details of fate entered on Nominal Roll |
