| Regimental number | 5121 |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | O'Connell Street, South Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, William Cottrell, O'Connell Street, South Brisbane, Queensland |
| Enlistment date | 19 May 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 3, Reinforcement 9 |
| AWM Embarkation Roll number | 13/31/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 9 September 1915 |
| Miscellaneous details (Nominal Roll) | missing page |