| Regimental number | 13755 |
| Place of birth | Wagga Wagga New South Wales |
| Religion | Church of England |
| Occupation | Dental surgeon |
| Address | Cremorne, New South Wales |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs B Cottee, 'St Kilda', Allister Street, Cremorne, New South Wales |
| Enlistment date | 27 September 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian Auxiliary Hospital |
| Fate | Returned to Australia 17 October 1916 |
