| Regimental number | 6869 |
| Place of birth | Langhorne Creek South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Langhorne's Creek, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, F Potts, Langhorne's Creek, South Australia |
| Enlistment date | 30 April 1917 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/44/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 29 October 1918 |
