| Regimental number | 5412 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 260 Oxford Street, Woollahra, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs A Nicholson, 260 Oxford Street, Woollahra, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, Reinforcement 9 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |