| Regimental number | 19914 |
| Religion | Church of England |
| Occupation | Traveller |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Elizabeth Isabella Potts, c/o Commercial Banking Co., George Street, Sydney, New South Wales |
| Enlistment date | 14 September 1917 |
| Date of enlistment from Nominal Roll | 13 September 1917 |
| Rank on enlistment | Sapper |
| Unit name | August 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia 22 September 1919 |
