| Regimental number | 54842 |
| Occupation | Farmer |
| Next of kin | Brother, J Cottam, Oxcliffe Hall Farm, Lancaster, England |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 28th Reinforcements (First Draft), E Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 89 Waitemata on |
| Sources | Nominal Roll Vol. 3: Roll 69, p. 9 |