| Regimental number | 9859 |
| Place of birth | Paddington New South Wales |
| Religion | Church of England |
| Occupation | Blacksmith's striker |
| Address | 6 Ada Street, Erskineville, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs E M Nixon, 6 Ada Street, Erskineville, New South Wales |
| Enlistment date | 3 August 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Field Ambulance, 16th Reinforcement |
| AWM Embarkation Roll number | 26/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A53 Itria on 18 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian General Hospital |
| Fate | Returned to Australia 15 June 1919 |
