| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | Lester Street, Lismore, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs. Elizabeth I. Potts, Lismore, New South Wales |
| Enlistment date | |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 2nd Light Horse Regiment, C Squadron |
| AWM Embarkation Roll number | 10/7/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A15 Star Of England on |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
