| Regimental number | 1903 |
| Place of birth | Moama New South Wales |
| Religion | Church of England |
| Occupation | Grazier |
| Address | Moama, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Wm. Nicholas, Moama, New South Wales |
| Enlistment date | 6 August 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/6/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Fate | Returned to Australia 17 July 1919 |