| Regimental number | 662 |
| Place of birth | Adelong New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | c/o C J Nicholls, Bongongolong Gundagai, New South Wales |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | C J Nicholls, Bongongolong Gundagai, New South Wales |
| Enlistment date | 4 September 1914 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, F Company |
| AWM Embarkation Roll number | 23/30/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A38 Ulysses on 22 December 1914 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 29 August 1915 |
