| Regimental number | 19848 |
| Place of birth | Clunes Vic |
| Religion | Roman Catholic |
| Occupation | Handy man |
| Address | Boulder, Western Australia |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs Annie Hickey, 164 Wittenoom Street, Boulder, Western Australia |
| Enlistment date | 11 March 1917 |
| Rank on enlistment | Sapper |
| Unit name | 1st Field Squadron Engineers, August 1917 Reinforcements |
| AWM Embarkation Roll number | 14/36/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Fate | No details of fate entered on Nominal Roll |
