| Regimental number | 6141 |
| Place of birth | Odessa Russia |
| Religion | Church of England |
| Occupation | Waiter |
| Address | Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Mary Cotten, 127 Lenn Street, Odessa, Russia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/33/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on |
| Regimental number from Nominal Roll | 6141A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Division Headquarters |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
