| Regimental number | 16195 |
| Place of birth | Kew Victoria |
| Religion | Church of England |
| Occupation | Accountant |
| Address | Colac, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, E Potts, National Bank House, Colac, Victoria |
| Enlistment date | 20 October 1917 |
| Rank on enlistment | Motor Transport Driver |
| Unit name | Mechanical Transport Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | ac Vehicle R Pk |
| Fate | Returned to Australia 22 August 1919 |
