| Regimental number | 12894 |
| Place of birth | Enfield New South Wales |
| Religion | Church of England |
| Occupation | Baker |
| Address | 48 Walter Street, Croydon, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs M A Cottle, 48 Walter Street, Croydon, Sydney, New South Wales |
| Previous military service | 39th Infantry |
| Enlistment date | 11 September 1915 |
| Date of enlistment from Nominal Roll | 6 October 1915 |
| Rank on enlistment | Gunner |
| Unit name | Reinforcement 4 |
| AWM Embarkation Roll number | 13/33/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 6th Field Artillery Brigade |
| Fate | Returned to Australia 21 April 1918 |
