| Regimental number | 3021 |
| Place of birth | Moonta South Australia |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Crossroads, Moonta, South Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs L Nankivell, Crossroads, Moonta, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
