| Regimental number | 16381 |
| Place of birth | Rous Mill New South Wales |
| Religion | Roman Catholic |
| Occupation | Railway porter |
| Address | Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, J Flick, P O Lismore, Lismore, New South Wales |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Private |
| Unit name | January 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A33 Ayrshire on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Field Ambulance |
| Fate | Returned to Australia 16 June 1919 |