| Regimental number | 3555 |
| Place of birth | Gippsland, Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Calstown Lakes, Biggenden, Queensland |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs Francis Bott, Calstown Lakes, Biggenden, Queensland |
| Enlistment date | |
| Rank on enlistment | Sergeant |
| Unit name | Tunnelling Company 4, Headquarters 1 |
| AWM Embarkation Roll number | 16/10/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 1st Tunnelling Company |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 174 Date: |