| Regimental number | 54065 |
| Place of birth | Berrigan New South Wales |
| Religion | Church of England |
| Occupation | Leather dresser |
| Address | West Wyalong, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, F Cottle, Church Street, West Wyalong, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 5 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Base Depot |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
