| Regimental number | 1669 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Dental apprentice |
| Address | South Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs C Mott, Laura Street, South Brisbane, Queensland |
| Enlistment date | 3 July 1915 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 14 July 1915 |
| Regimental number from Nominal Roll | 1669B |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 23 January 1919 |
