| Regimental number | 19419 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Steward |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Brother, W E Cottrell, c/o Mrs W P B Mills, St Luke's Church, Charlotte Street, Brisbane, Queensland |
| Enlistment date | 2 November 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A41 Bakara on 4 September 1918 |
| Miscellaneous details (Nominal Roll) | missing page |
