| Regimental number | 1636 |
| Place of birth | Hughenden Queensland |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Phyllis, Kieran Street, Waverley, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs J A Nicholls, 187 Wharf Street, Brisbane, Queensland |
| Enlistment date | 9 October 1916 |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 4 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 1st Division Artillery |
| Fate | Returned to Australia 3 March 1919 |
