| Regimental number | 19/47 |
| Occupation | Fruiterer |
| Next of kin | Mother, Mrs J Cottam, 251 Leigh Road, Howe Bridge, Manchester, England |
| Rank on embarkation | Corporal |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade Reinforcements (Second Draft), J Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 90 Ulimaroa on |
| Other details | Ex Samoan Relief |
| Sources | Nominal Roll Vol. 3: Roll 69, p. 35 |