| Regimental number | 3210 |
| Place of birth | Ballarat Victoria |
| Religion | Church of Christ |
| Occupation | Labourer |
| Address | Port Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs L Potter, 122 Albert Street, Port Melbourne, Victoria |
| Enlistment date | 22 August 1918 |
| Rank on enlistment | Private |
| Unit name | July 1918 Reinforcements |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on 22 October 1918 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A36 Boonah on 29 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |