
| Regimental number | 4634 |
| Place of birth | Queanbeyan New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Naomi, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Ellen Cotter, Tharwa, via Queanbeyan, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Machine Gun Battalion |
| Recommendations (Medals and Awards) |
Meritorious Service Medal Recommendation date: |
| Other details from Roll of Honour Circular | Died of diphtheria. Enlisted 8 September 1916 - 12th Rfcts 30 Btn; TOS, 22 MG Coy 17 October 1917; temp. sgt 5 October 1918. |
| Fate | Died of disease |
| Age at death | 22 |
| Place of burial | Pramont British Cemetery (Plot IV, Row A, Grave No. 5), France |
| Panel number, Roll of Honour, Australian War Memorial | 175 |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 119 Date: |