| Regimental number | 1305 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Grocer |
| Address | William-street, Laidley, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs. Daisy Nicholls, William-street, Laidley, Queensland |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 10th Reinforcement |
| AWM Embarkation Roll number | 10/7/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A69 Warilda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Cyclists' Battalion |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
