| Regimental number | 4770 |
| Place of birth | Dublin, Ireland |
| Religion | Roman Catholic |
| Occupation | Tram conductor |
| Address | 223 Murray Street, Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs L A Rose, 223 Murray Street, Hobart, Tasmania |
| Enlistment date | 7 December 1915 |
| Place of enlistment | Claremont, Tasmania |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 18 February 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Field Artillery Brigade |
| Fate | Returned to Australia 10 December 1918 |
| Sources | NAA: B2455, CODEY Lance William Patrick Henry |