| Regimental number | 1774 |
| Place of birth | Eugowra New South Wales |
| Religion | Roman Catholic |
| Occupation | Blacksmith |
| Address | Norton Street, Ashfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs C Hickey, Norton Street, Ashfield, New South Wales |
| Enlistment date | 28 January 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/18/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 10 April 1915 |
| Fate | No details of fate entered on Nominal Roll |
