| Regimental number | 128 |
| Place of birth | Daylesford, Victoria |
| Religion | Church of England |
| Occupation | Station overseer |
| Address | 'Delgetti', Park Street, South Yarra, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mrs Eliza Cotton, 'Delgetti', Park Street, South Yarra, Victoria |
| Enlistment date | |
| Place of enlistment | Tatura, Victoria |
| Rank on enlistment | Private |
| Unit name | 13th Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/18/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A34 Persic on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 57th Battalion |
| Recommendations (Medals and Awards) |
Unspecified Recommendation date: |
| Fate | Returned to Australia |