| Regimental number | 14141 |
| Religion | Church of England |
| Occupation | Skin classer |
| Address | Moonee Ponds, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs E E Nicholls, 166 Athol Street, Moonee Ponds, Victoria |
| Enlistment date | 29 April 1916 |
| Date of enlistment from Nominal Roll | 6 May 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Australian Casualty Clearing Station |
| AWM Embarkation Roll number | 26/103/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Casualty Clearing Station |
| Fate | nig No details enetered on Nominal |
