| Regimental number | 279 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Selector |
| Address | Millaa Millaa via Cairns, Queensland |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Elizabeth Cotton, 105 Gladstone Road, Sparkbrook, Birmingham, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 12, Reinforcement 3 |
| AWM Embarkation Roll number | 24/17/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on |
| Miscellaneous details (Nominal Roll) | missing page |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
