| Place of birth | Armadale, Victoria |
| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | St Kilda, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs G A J Bothamley, 14 Munro Street, Ascot Vale, Victoria |
| Previous military service | 56th Infantry |
| Enlistment date | 13 July 1917 |
| Date of enlistment from Nominal Roll | 16 July 1917 |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 25 September 1917 |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 18 December 1918 |