| Regimental number | 15746 |
| Place of birth | Brisbane Queensland |
| Religion | Methodist |
| Occupation | Draper |
| Address | New Farm, Queensland |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, G W Potter, 77 Terrace Street, New Farm, Queensland |
| Enlistment date | 30 November 1915 |
| Rank on enlistment | Private |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A74 Marathon on 27 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia 19 June 1919 |
