| Regimental number | 3516 |
| Place of birth | Zeehan, Tasmania |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Zeehan, Tasmania |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs A Bottriell, 20 Tarleton Street, Zeehan, Tasmania |
| Previous military service | 91st Infantry |
| Enlistment date | 27 January 1917 |
| Rank on enlistment | Private |
| Unit name | 40th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/57/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 40th Battalion |
| Fate | Returned to Australia 14 January 1919 |
