| Regimental number | 2277 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Newtown, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Janie Nichols, Chiltern Valley, Victoria |
| Enlistment date | 27 October 1917 |
| Rank on enlistment | Private |
| Unit name | October 1917 Reinforcements |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 9 November 1917 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 22 December 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
