| Regimental number | 5591 |
| Place of birth | Longford N/A |
| Religion | Methodist |
| Occupation | Miner |
| Address | Devonport, Tasmania |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs R Nichols, Smith Street, Devonport, Tasmania |
| Enlistment date | 5 April 1916 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies, October 1916, Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Tunnelling Company |
| Fate | Returned to Australia 31 May 1919 |