| Regimental number | 3756 |
| Place of birth | Castlemaine Victoria |
| Religion | Congregational |
| Occupation | Farmer |
| Address | Muckleford Railway Station via Castlemaine, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs A A Ottrey, Muckleford Railway Station via Castlemaine, Victoria |
| Previous military service | 66th Infantry |
| Enlistment date | 5 October 1917 |
| Rank on enlistment | Private |
| Unit name | 57th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/74/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 24 July 1919 |
