| Regimental number | 3964 |
| Place of birth | Dalby Queensland |
| Other Names | Norman Nicholson |
| Religion | Church of England |
| Occupation | Dentist |
| Address | Ardoyne, Corinda, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Margaret Watts, Corinda, Queensland |
| Enlistment date | 22 November 1915 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/43/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A62 Wandilla on 31 January 1916 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | 76th Dental Unit |
| Fate | Returned to Australia 21 June 1919 |
