| Regimental number | 5216 |
| Place of birth | Geelong Victoria |
| Religion | Methodist |
| Occupation | Baker |
| Address | Clifton, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Brother, N H Potter, High Street, Geelong West, Victoria |
| Enlistment date | 24 November 1914 |
| Rank on enlistment | Corporal |
| Unit name | Field Butchery and Bakery |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board TRANSPORT A35 Berrima on 22 December 1914 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 13th Company, Australian Army Service Corps |
| Fate | Returned to Australia 16 December 1918 |
