| Regimental number | 617 |
| Place of birth | Portsmouth England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Miss Hickley, City Dining Rooms, Townsville, Queensland |
| Marital status | Widower |
| Age at embarkation | 46 |
| Next of kin | Daughter, Miss Edith Beatrice Annie Hickley, City Dining Rooms, Townsville, Queensland |
| Enlistment date | 18 October 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Infantry Battalion, Naval and Military Forces - Special Tropical Corps (November 1914), A Company |
| AWM Embarkation Roll number | 23/112/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Te Anau on 20 November 1915 |
| Fate | No details of fate entered on Nominal Roll |
