| Regimental number | 2040 |
| Place of birth | Merino Vic |
| Religion | Church of England |
| Occupation | labourer |
| Address | Woomargama PO, via holbrook, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Ann Jane Hicks, Woomargama PO, via holbrook, New South Wales |
| Enlistment date | 5 October 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 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Field Artillery Brigade |
| Fate | Returned to Australia 20 April 1919 |
