| Regimental number | 22356 |
| Place of birth | Kent England |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | Orbost, East Gippsland, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Father, H Cottman, Orbost, East Gippsland, Victoria |
| Enlistment date | 27 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Howitzer Brigade 23, Battery 109 |
| AWM Embarkation Roll number | 13/133/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Rank from Nominal Roll | Bombardier |
| Miscellaneous details (Nominal Roll) | missing page |
