| Religion | Roman Catholic |
| Occupation | Medical practitioner |
| Address | Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, J M De Lacy, 29 Lisson Grove, Hawthorn, Victoria |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Recommendations (Medals and Awards) |
Officer of the Order of the British Empire Recommendation date: |
| Fate | Returned to Australia |