
| Regimental number | 1623 |
| Place of birth | Plempstead England |
| Religion | Church of England |
| Occupation | Gas fitter |
| Address | c/o Mrs J E Nicholls, Harris Estate, Eagle Farm, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Mrs J E Nicholls, Harris Estate, Eagle Farm, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Field Ambulance, 2nd Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A51 Chilka on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Field Ambulance |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |