| Regimental number | 350 |
| Place of birth | Wilmot Tasmania |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | c/o Mrs A Nicholls, Wivenhoe Burnie, Tasmania |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Annie Nicholls,Wivenhoe Burnie, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, C Company |
| AWM Embarkation Roll number | 23/29/1 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board HMAT A2 Geelong on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 12th Battalion |
| Recommendations (Medals and Awards) |
'Work at Lihons on 11 August 1918.' Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 109 Date: |