| Regimental number | 6089 |
| Place of birth | Wolverhampton England |
| Religion | Church of England |
| Occupation | Farmer |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs T Cotterill, 31 Henwood Lane, Compton, Wolverhampton, England |
| Enlistment date | 8 February 1915 |
| Rank on enlistment | Driver |
| Unit name | Infantry Brigade 5, 15th Company, Army Service Corps |
| AWM Embarkation Roll number | 25/103/1 |
| Embarkation details | Unit embarked from |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 15th Company, Australian Army Service Corps |
| Fate | Returned to Australia 16 January 1919 |
