| Regimental number | 4284 |
| Place of birth | Melbourne Victoria |
| Religion | Methodist |
| Occupation | Farm labourer |
| Address | 169 King Street, Newtown, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Emily Edith Nicholas, c/o Mrs E M Burke, 57 Wells Street, Redfern, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Nicholson on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |