| Regimental number | 39474 |
| Place of birth | Lismore New South Wales |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Forest Lodge, NSW |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, T F Potts, 81 Arundel Street, Forest Lodge, New South Wales |
| Enlistment date | 10 November 1917 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, Reinforcement 34 |
| AWM Embarkation Roll number | 13/128/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on 30 April 1918 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 6th Field Ambulance |
| Fate | Returned to Australia 22 July 1918 |