| Regimental number | 7290 |
| Place of birth | Exeter England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 267 Esplanade, Port Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, J Potter, Kentas Beare, Devonshire, England |
| Enlistment date | 4 January 1917 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 24th Reinforcement |
| AWM Embarkation Roll number | 23/24/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 19 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 2 January 1919 |
