| Regimental number | 1371 |
| Place of birth | Meningie, South Australia |
| Religion | Church of England |
| Occupation | Electrical engineer |
| Address | Meningie, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs. Margaret Botten, Meningie, South Australia |
| Enlistment date | |
| Rank on enlistment | SIG |
| Unit name | 3rd Light Horse Regiment, 10th Reinforcement |
| AWM Embarkation Roll number | 10/8/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Recommendations (Medals and Awards) |
Unspecified Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 75 Date: |