| Regimental number | 711 |
| Place of birth | Strathalbyn, South Australia |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | 52 Blyth Street, Parkside, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Margaret Botten, 52 Blyth Street, Parkside, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Remount Unit 1, Squadron 3 |
| AWM Embarkation Roll number | 28/2/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A67 Orsova on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Remounts |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | see other |
| Miscellaneous information from cemetery records | Plaque in South Australian Garden of Remembrance |
| Date of death | |
| Age at death | 30 |
| Place of burial | North Road Church of England Cemetery, Adelaide, South Australia |