| Regimental number | 4780 |
| Place of birth | West Maitland New South Wales |
| Religion | Roman Catholic |
| Occupation | Commercial traveller |
| Address | Fishery Creek, West Maitland, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs C Hickey, 76 Camden Street, Newtown, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/47/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Rookwood Necropolis |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
