| Regimental number | 4656 |
| Place of birth | Brisbane Queensland |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, Henry Joseph Lacy, Cairns Terrace, Red Hill, Brisbane, Queensland |
| Enlistment date | 23 November 1916 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/48/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 23 December 1916 |
| Fate | No details of fate entered on Nominal Roll |