| Regimental number | 921 |
| Place of birth | Toowoomba Queensland |
| Religion | Church of England |
| Occupation | Grazier |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Hannah Mott, Gladevale, Richmond, Queensland |
| Enlistment date | 29 November 1915 |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, D Company |
| AWM Embarkation Roll number | 23/58/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 18 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 4 June 1919 |
