| Regimental number | 7011 |
| Place of birth | Derby England |
| Religion | Church of England |
| Occupation | Civil servant |
| Address | Nedlands, Western Australia |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Bessie Ottewell, Broadway, Nedlands, Western Australia |
| Enlistment date | 15 January 1917 |
| Date of enlistment from Nominal Roll | 14 November 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/45/4 |
| Embarkation details | Unit embarked from Albany, Western Australia, on board HMAT A16 Port Melbourne on 24 July 1917 |
| Regimental number from Nominal Roll | 7011A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 19 February 1919 |
