| Regimental number | 1668 |
| Place of birth | Melbourne Vic |
| Religion | Roman Catholic |
| Occupation | Survey hand |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs. Mary Hickey, Wongan Hills, Western Australia |
| Enlistment date | 26 September 1914 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/28/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A50 Itonus on 22 February 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 28 August 1919 |