| Regimental number | 6803 |
| Place of birth | Ruahon North Wales |
| Religion | Methodist |
| Occupation | Baker |
| Address | 51 Aberdeen Street, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, Owen Nicholas, Bodyeltyrs Row, Rhossmedya, North Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/33/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A8 Argyllshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | a I F H Q |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
