| Regimental number | 3181 |
| Place of birth | Galaquil Victoria |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Florence N Crook, Urangeline Farm via Yerong Creek, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Brother, Amos Mott, Urangeline Farm via Yerong Creek, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/39/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A73 Commonwealth on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Battalion |
| Recommendations (Medals and Awards) |
Military Medal (No award) Recommendation date: |
| Fate | Returned to Australia |