| Regimental number | 1595 |
| Religion | Church of England |
| Occupation | Driver |
| Address | Baltic Bay Street, Brighton le Sands, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs L Nicholls, Baltic Bay Street, Brighton le Sands, Sydney, New South Wales |
| Enlistment date | 22 April 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A32 Themistocles on 12 May 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |