| Regimental number | 1994 |
| Place of birth | Bradford England |
| Religion | Methodist |
| Occupation | Engine fitter |
| Address | 402 Livingstone Road, Marrickville, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs F G Potter, 402 Livingstone Road, Marrickville, New South Wales |
| Enlistment date | 22 June 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 9 August 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 2nd Pioneer Battalion |
| Fate | Returned to Australia 17 March 1917 |
