| Regimental number | 8593 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Law clerk |
| Address | Pengilly, Western Australia |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs Zoe Louise Cubit Nichols, 32 Russell Square, London, E C, England |
| Enlistment date | 21 October 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Stationary Hospital 2, Reinforcement 13 |
| AWM Embarkation Roll number | 26/71/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 17 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Field Ambulance |
| Fate | Returned to Australia 5 November 1917 |
