| Regimental number | 8646 |
| Place of birth | Omeo Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Same as next of kin |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, F. Nicholas, Allansford, Victoria |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 6, Brigade Ammunition Column |
| AWM Embarkation Roll number | 13/34/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on |