| Regimental number | 10339 |
| Place of birth | Alphington Victoria |
| Religion | Roman Catholic |
| Occupation | Driver |
| Address | Coburg, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs A Lacy, 42 The Avenue, Coburg, Victoria |
| Enlistment date | 21 July 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, April 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Fate | No details of fate entered on Nominal Roll |