| Regimental number | 6201 |
| Place of birth | Tenby, Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Sister, Mrs Margaret Annie Nichol, St Florence Penally, Pembrokeshire, South Wales |
| Enlistment date | 6 May 1915 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Field Ambulance, 11th Reinforcement |
| AWM Embarkation Roll number | 26/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A6 Clan Maccorquodale on 15 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Field Ambulance |
| Fate | Returned to Australia 10 July 1916 |
