| Regimental number | 4646 |
| Place of birth | Blenheim New Zealand |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Merewether P O, Newcastle, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs Ethel Lillian Nicoll, Laking Road, Springlands, Blenheim, New Zealand |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Age at death | 55 |
| Place of burial | Kelvin Grove Cemetery, Palmerston North, New Zealand |