| Regimental number | 1801 |
| Place of birth | Peak Hill New South Wales |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | Vic Barracks, Paddington, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Brother, T Nicholas, Vic Barracks, Paddington, New South Wales |
| Enlistment date | 12 January 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/21/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A9 Shropshire on 17 March 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
