| Regimental number | 3300 |
| Place of birth | Sydney New South Wales |
| Religion | Congregational |
| Occupation | Farmer |
| Address | Griffiths, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Mr Potter, The Avenue, Petersham, Sydney, New South Wales |
| Enlistment date | 3 March 1917 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 27th Reinforcement |
| AWM Embarkation Roll number | 10/12/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 9 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Light Horse Regiment |
| Fate | Returned to Australia 26 December 1918 |
