| Regimental number | 2421 |
| Place of birth | Melbourne Vic |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Woomargama pO, via Holbrook, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Ann Jane Hicks, Woomargama pO, via Holbrook, New South Wales |
| Enlistment date | 18 November 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 14th Reinforcement |
| AWM Embarkation Roll number | 10/12/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A57 Malakuta on 16 March 1916 |
| Regimental number from Nominal Roll | 2041 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Light Horse Regiment |
| Fate | Returned to Australia 24 July 1919 |
