| Regimental number | 3437 |
| Place of birth | East London England |
| Religion | Church of England |
| Occupation | Plasterer |
| Address | Northcote, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Anne Nichols, 40 Merri Parade, Northcote, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 46th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/63/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
