| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | Caulfield, Victoria |
| Marital status | Married |
| Age at embarkation | 49 |
| Next of kin | Wife, Mrs E G Nicholls, 'Yandiah', Inkerman Road, Caulfield, Victoria |
| Previous military service | Australian Army Medical Corps Reserve |
| Enlistment date | 22 January 1918 |
| Rank on enlistment | Major |
| Unit name | AMC Sea Transport Staff, Section 4 |
| AWM Embarkation Roll number | 26/104/4 |
| Rank from Nominal Roll | Major |
| Unit from Nominal Roll | no4 Sea Transpt |
| Fate | Returned to Australia 12 December 1918 |
