| Regimental number | 2938 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Walgett, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Brother, Thomas Hickey, Walgett PO, Walgett, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 21st Reinforcement |
| AWM Embarkation Roll number | 10/6/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on |
| Fate | No details of fate entered on Nominal Roll |