| Regimental number | 1204 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Hatter |
| Address | Randwick, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Theodore John Nieriker, Young Street, Randwick, New South Wales |
| Previous military service | 9th ALH |
| Enlistment date | 14 March 1916 |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 19 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Imperial Camel Brigade |
| Fate | Returned to Australia 28 January 1919 |