| Regimental number | 3555 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Biggenden, Queensland |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs F Bott, Calstown Lakes, Biggenden, Queensland |
| Enlistment date | 21 February 1916 |
| Rank on enlistment | Sergeant |
| Unit name | |
| AWM Embarkation Roll number | 16/13/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Miscellaneous details (Nominal Roll) | see other |
