| Regimental number | 1927 |
| Place of birth | Cowra New South Wales |
| Religion | Church of England |
| Occupation | Barman |
| Address | Cowra, New South Wales |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs. Emma Potter, Cowra, New South Wales |
| Enlistment date | 3 September 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/11/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 5th Field Artillery Brigade |
| Fate | Returned to Australia 12 December 1918 |