| Regimental number | 4478 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | South Launceston, Tasmania |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs E Cottrell, South Launceston, Tasmania |
| Enlistment date | 5 October 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on 8 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 40th Battalion |
| Fate | Returned to Australia 30 April 1919 |
