| Regimental number | 91 |
| Place of birth | Mount McDonald New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Newcastle, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Sister, Mary Hickey, Turnbull Street, Junction, Newcastle, New South Wales |
| Enlistment date | 6 January 1916 |
| Rank on enlistment | Private |
| Unit name | 34th Battalion, A Company |
| AWM Embarkation Roll number | 23/51/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 2 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 34th Battalion |
| Fate | Returned to Australia 23 July 1919 |