| Regimental number | 5847 |
| Place of birth | Newmarket Victoria |
| Religion | No religion |
| Occupation | Student |
| Address | The Pharmacy, Trafalgar, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Mary Nicholas, The Pharmacy, Trafalgar, Victoria |
| Enlistment date | 1 September 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 13 February 1917 |