| Regimental number | 15620 |
| Place of birth | Sidmouth England |
| Religion | Church of England |
| Occupation | Salesman |
| Address | Hereford Street, Stockton, New South Wales |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Sister, Miss E Nickels, 'Elmdine', Littleham Cross, Exmouth, Devonshire, England |
| Enlistment date | 7 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 11, Reinforcement 2 |
| AWM Embarkation Roll number | 13/38/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia 13 February 1917 |
