| Regimental number | 4569 |
| Place of birth | Oxfordshire England |
| Religion | Church of England |
| Occupation | Plumber |
| Address | Upper Norman Street, East Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs D Nicholls, Upper Norman Street, East Brisbane, Queensland |
| Enlistment date | 10 September 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A62 Wandilla on 31 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 22 July 1917 |
