| Regimental number | 4221 |
| Place of birth | West Melbourne Vic |
| Religion | Roman Catholic |
| Occupation | Guard |
| Address | 206 Stanley Street, West Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs E Hickey, 206 Stanley Street, West Melbourne, Victoria |
| Enlistment date | 13 August 1915 |
| Date of enlistment from Nominal Roll | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on 29 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 46th Battalion |
| Fate | Returned to Australia 5 April 1919 |
