| Regimental number | 4809 |
| Place of birth | Branxton New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Newby's Hill, Coraki, Richmond River, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs. L. Hickey, Newby's Hill, Coraki, Richmond River, New South Wales |
| Enlistment date | 20 November 1915 |
| Date of enlistment from Nominal Roll | 19 November 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | a DENTAL C |
| Fate | Discharged 12 July 1919 |
