| Regimental number | 5563 |
| Place of birth | Warrnambool Victoria |
| Religion | Roman Catholic |
| Occupation | Railway ganger |
| Address | Norseman, Western Australia |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs T M Lavery, 492 Railway Cottage, Norseman, Western Australia |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies, October 1916, Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Tunnelling Companies |
| Fate | Returned to Australia |
| Age at death from cemetery records | 46 |
| Place of burial | Norseman Cemetery (Portion Roman Catholic, Row 42, Grave No. 8), Western Australia |
| Panel number, Roll of Honour, Australian War Memorial | 27 |
| Miscellaneous information from cemetery records | Aggravated by Service. Parents: robert and Ellen LAVERY; husband Theresa LAVERY. Native of Warrnambool, Victoria |