| Regimental number | 3974 |
| Religion | Church of England |
| Occupation | Gas stoker |
| Address | Hilly Street, Mortlake, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs H Nielson, Hilly Street, Mortlake, Sydney, New South Wales |
| Enlistment date | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/18/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Mooltan on 11 December 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
