| Regimental number | 4221 |
| Place of birth | Stepney South Australia |
| Religion | Baptist |
| Occupation | Jockey |
| Address | Wilpura Terrace, Kilkenny, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, T H Stott, Cressy Bore, South Australia |
| Enlistment date | 7 June 1915 |
| Date of enlistment from Nominal Roll | 14 June 1915 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 1, Reinforcement 9 |
| AWM Embarkation Roll number | 25/89/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 9 September 1915 |
| Regimental number from Nominal Roll | 5221 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Divisional Ammunition Column |
| Fate | Returned to Australia 11 April 1916 |