| Regimental number | 102 |
| Place of birth | Narrandera New South Wales |
| Religion | Roman Catholic |
| Occupation | Fireman |
| Address | Newtown, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Rosanna Hickey, Clark Street, Murrumburrah, New South Wales |
| Enlistment date | 6 January 1917 |
| Rank on enlistment | 2nd Corporal |
| Unit name | Section 1 |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 6th Broad Gauge Railway Operating Company |
| Fate | Returned to Australia 22 July 1919 |