| Regimental number | 21847 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | 'Roseville', Lily Street, Hurstville, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs M.I. Potts, same address |
| Enlistment date | 1 November 1917 |
| Rank on enlistment | Sapper |
| Unit name | Engineering Field Companies, General Reinforcements |
| AWM Embarkation Roll number | 14/42/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 22 March 1918 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 9th Field Company Engineers |
| Fate | Returned to Australia 3 May 1919 |