| Regimental number | 7804 |
| Place of birth | Bombala New South Wales |
| Religion | Roman Catholic |
| Occupation | Station manager |
| Address | Gurley, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs R M Nicholson, Murry Cummumulah, Gurley, New South Wales |
| Enlistment date | 7 February 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 26th Reinforcement |
| AWM Embarkation Roll number | 23/21/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 6 July 1919 |