| Regimental number | 2828 |
| Place of birth | Rockdale New South Wales |
| Religion | Church of England |
| Occupation | Mason |
| Address | Northbrook Street, Rockdale, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Sarah Nicholson, Northbrook Street, Rockdale, New South Wales |
| Enlistment date | 20 January 1916 |
| Date of enlistment from Nominal Roll | 10 January 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 19th Reinforcement |
| AWM Embarkation Roll number | 10/6/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mongolia on 8 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 4 March 1919 |