| Regimental number | 27812 |
| Place of birth | Kew Victoria |
| Religion | Presbyterian |
| Occupation | Police constable |
| Address | Kaniva PO, Kaniva, Victoria |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs C M Potton, Kaniva PO, Kaniva, Victoria |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 10, Reinforcement 6 |
| AWM Embarkation Roll number | 13/37/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A30 Borda on |