| Regimental number | 6813 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Telegraphist |
| Address | Camden, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs. Emily Alice Ottaway, Camden, New South Wales |
| Enlistment date | 28 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 1, Reinforcement 15 |
| AWM Embarkation Roll number | 22/11/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orsova on 11 March 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 4th Divisional Signal Company |
| Fate | Returned to Australia 23 June 1919 |
