| Regimental number | 2962 |
| Place of birth | Cowra New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Goulburn, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Lily Maud Potter, Clifford Street, Goulburn, New South Wales |
| Enlistment date | 18 August 1916 |
| Rank on enlistment | Private |
| Unit name | 56th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/73/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Regimental number from Nominal Roll | 2962A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 2 June 1919 |
