| Regimental number | 3073 |
| Place of birth | Collingwood Victoria |
| Religion | Church of England |
| Occupation | Blacksmith's striker |
| Address | Campbell Street, West Toowoomba, Queensland |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs E M Nichols, Campbell Street, West Toowoomba, Queensland |
| Enlistment date | 4 April 1918 |
| Rank on enlistment | Private |
| Unit name | May 1918 Reinforcements |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 2nd Australian Light Railway Operating Company |
| Fate | Returned to Australia 1 July 1919 |