| Regimental number | 3605 |
| Place of birth | Bega New South Wales |
| Religion | Church of England |
| Occupation | Dairy farmer |
| Address | Bega, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Elizabeth Otton, Ottonville, Bega, New South Wales |
| Enlistment date | 12 February 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A70 Ballarat on 5 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 10 June 1919 |
