| Regimental number | 51650 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Cook |
| Address | c/o Mrs Hickey, 19 Champ Street, Coburg, Victoria |
| Marital status | Widower |
| Age at embarkation | 43 |
| Next of kin | Legatee, A M Goldberg, 35 Argyle Square, Carlton, Victoria |
| Enlistment date | 18 December 1917 |
| Rank on enlistment | Private |
| Unit name | 3rd General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 39th Battalion |
| Fate | Returned to Australia 24 September 1919 |
