| Regimental number | 3/2178 |
| Place of birth | Australia |
| Occupation | Clerk |
| Next of kin | Mother, Mrs W O S Niccolls, Denbigh Street, Feilding |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 13th Reinforcements, New Zealand Medical Corps |
| Embarkation details | Unit embarked from Wellington on |
| Sources | Nominal Roll Vol. 2: Roll 33, p. 24 |