| Regimental number | 2578 |
| Place of birth | Leichhardt New South Wales |
| Religion | Baptist |
| Occupation | Soldier |
| Address | Ashfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Seth Pearson Cottam Brunswick Parade, Ashfield, New South Wales |
| Previous military service | RAE |
| Enlistment date | |
| Rank on enlistment | 2nd Air Mechanic |
| Unit name | Australian Flying Corps, No 1 Special Draft |
| AWM Embarkation Roll number | 8/15/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
