| Regimental number | 21792 |
| Place of birth | Lilydale Victoria |
| Religion | Church of England |
| Occupation | Clergyman |
| Address | Eltham, Victoria |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs E M Nicholas, c/o Mrs Hancock, 205 Armstrong Street, North Ballarat, Victoria |
| Enlistment date | 10 May 1918 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on 14 September 1918 |
| Rank from Nominal Roll | Chaplain |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Returned to Australia 24 July 1919 |
