| Regimental number | 1840 |
| Religion | Church of England |
| Occupation | Horseman |
| Address | 60 Eveleigh Street, Redfern, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Annie Nicolls, 60 Eveleigh Street, Redfern, Sydney, New South Wales |
| Enlistment date | 11 April 1916 |
| Rank on enlistment | Private |
| Unit name | 35th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/52/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 4 September 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
