| Regimental number | 1374 |
| Place of birth | Stawell Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Stawell, Victoria |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Rose H Potter, Hewitt Street, Stawell, Victoria |
| Enlistment date | 20 March 1916 |
| Rank on enlistment | Private |
| Unit name | 39th Battalion, D Company |
| AWM Embarkation Roll number | 23/56/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 27 May 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 39th Battalion |
| Fate | Returned to Australia 4 July 1919 |