| Regimental number | 7676 |
| Place of birth | Bristol England |
| Religion | Roman Catholic |
| Occupation | Dock labourer |
| Address | 16 Guinea Street, Redcliffe Hill, Bristol, England |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Sister, Miss Mary Hickey, 16 Guinea Street, Redcliffe Hill, Bristol, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian General Hospital 3, Reinforcement 2 |
| AWM Embarkation Roll number | 26/67/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
