
| Regimental number | 2808 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Torquay, via Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, J Cootes, Torquay, via Geelong, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Star of Victoria on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 14th Field Ambulance |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 76 Date: |