| Regimental number | 6100 |
| Place of birth | North Sydney New South Wales |
| Religion | Church of England |
| Occupation | Lorry driver |
| Address | Three Oaks Dairy, Folley Point, North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Jeanie Potts, Folley Point, North Sydney, New South Wales |
| Enlistment date | 15 October 1916 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/40/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 31 October 1916 |
