| Regimental number | 21425 |
| Place of birth | Hawthorn Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Nhill, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, F Cottman, Nhill, Victoria |
| Enlistment date | 9 October 1917 |
| Rank on enlistment | Sapper |
| Unit name | 1st Field Squadron Engineers - January, 1918, Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Lyttleton on 24 June 1918 |
| Rank from Nominal Roll | Sapper |
| Fate | Returned to Australia 3 July 1919 |
