| Regimental number | 66761 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Tile layer |
| Address | c/o Mrs Bell Wellington Road, Granville, New South Wales |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs M H M Nicholson, c/o Mrs Bell Wellington Road, Granville, New South Wales |
| Previous military service | 2nd Battalion 20th Infantry |
| Enlistment date | 25 July 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 22 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |