| Regimental number | 295 |
| Place of birth | Breeza Plains, Queensland |
| Religion | Church of England |
| Occupation | Miner |
| Address | Mount Morgan, Queensland |
| Marital status | Married |
| Age at embarkation | 38 |
| Height | 5' 9" |
| Weight | 134 lbs |
| Next of kin | Wife, Mrs Cissie Tacey, Patterson Street, Mount Morgan, Queensland |
| Previous military service | Nil |
| Enlistment date | |
| Place of enlistment | Rockhampton, Queensland |
| Rank on enlistment | Sapper |
| Unit name | Mining Corps 1, Company 1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Australian Electrical, Mechanical Mining & Boring Company |
| Fate | Returned to Australia |
| Discharge date | |
| Other details |
Commenced return to Australia on board HT 'Gaika', 8 November 1918; disembarked Melbourne, 29 December 1918, for onward travel to Brisbane; discharged (medically unfit), Brisbane, 15 February 1919. Medals: British War Medal, Victory Medal |
| Date of death | |
| Age at death | 49 |
| Place of burial | Toowong Cemetery, Queensland |
| Sources | NAA: , TACEY James St Lawrence |