| Regimental number | 13 |
| Place of birth | Lithgow New South Wales |
| Religion | Church of England |
| Occupation | Fitter |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs E Nichols, 'Keira', 24 Greenbank Street, Marrickville, New South Wales |
| Enlistment date | 2 December 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Machine Gun Squadron, March 1917 Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Squadron |
| Fate | Returned to Australia 12 November 1917 |
