| Regimental number | 16380 |
| Place of birth | Chelmer Qld |
| Religion | Roman Catholic |
| Occupation | Salesman |
| Address | Taringa, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs M Hickey, Rokeby Terrace, Taringa, Queensland |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Private |
| Unit name | January 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A45 Bulla on 16 January 1917 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Omrah on 17 January 1917 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A33 Ayrshire on 24 January 1917 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A28 Miltiades on 24 January 1917 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 29 January 1917 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 10 February 1917 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A48 Seang Bee on 10 February 1917 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board HMAT A70 Ballarat on 17 February 1917 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 19 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Field Ambulance |
| Fate | Returned to Australia 19 October 1918 |
