| Regimental number | 875 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Station hand |
| Address | Gordon Street, Paddington, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mrs J J Nicholls, Gordon Street, Paddington, New South Wales |
| Enlistment date | 16 March 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 2nd Reinforcement |
| AWM Embarkation Roll number | 10/17/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A51 Chilka on 26 June 1915 |
| Date of embarkation incorrectly listed on Embarkation Roll as 7 June 1915. |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Fate | Returned to Australia 25 September 1919 |
