| Regimental number | 2013 |
| Place of birth | Newcastle England |
| Religion | Baptist |
| Occupation | Labourer |
| Address | Young Road, Lambton, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | H Ott Snr, Young Road, Lambton, New South Wales |
| Enlistment date | 19 October 1914 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Section A |
| AWM Embarkation Roll number | 26/47/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A35 Berrima on 22 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia 11 April 1916 |
