
| Regimental number | 1810 |
| Place of birth | Erskinville New South Wales |
| Religion | Church of England |
| Occupation | Metal worker |
| Address | 22 Excelsior Street, Marrickville, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Jane Cotterell, 22 Excelsior Street, Marrickville, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/12/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A34 Persic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Returned to Australia |
| Other details |
War service: Egypt, Western Front Medals: 1914-15 Star, British War Medal, Victory Medal |
| Date of death | |
| Age at death | 24 |
| Place of burial | Woronora Cemetery, New South Wales |