| Regimental number | 28090 |
| Place of birth | Sydney, New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Beauchamp Street, Marrickville, New South Wales |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs G Nicholson, c/o Mrs Hill, Beauchamp Street, West Marrickville, Sydney, New South Wales |
| Enlistment date | 4 September 1916 |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 2, Reinforcement 10 |
| AWM Embarkation Roll number | 25/90/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |