| Regimental number | 6979 |
| Place of birth | Collingwood Victoria |
| Religion | Church of England |
| Occupation | Storeman |
| Address | 28 Curran Street, North Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs A Cotsworth, 28 Curran Street, North Melbourne, Victoria |
| Enlistment date | 23 October 1916 |
| Date of enlistment from Nominal Roll | 9 October 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 37th Battalion |
| Fate | Returned to Australia 8 April 1918 |
| Date of death | 7 June 1931 |
| Place of burial | Carlton Cemetery |
