| Regimental number | 9192 |
| Place of birth | Sydney New South Wales |
| Religion | Presbyterian |
| Occupation | Tailor's cutter |
| Address | c/o David Jones Ltd, George Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, Thomas M Nicholls, c/o David Jones Ltd, George Street, Sydney, New South Wales |
| Enlistment date | 24 August 1915 |
| Rank on enlistment | Corporal |
| Unit name | Dermatological Hospital |
| AWM Embarkation Roll number | 26/69/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 22 December 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 1st Australian Dermatological Hospital |
| Fate | Returned to Australia 2 June 1919 |
