| Regimental number | 1646 |
| Religion | Church of England |
| Occupation | Painter |
| Address | Lismore, New South Wales |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Mrs Elizabeth Potts c/o V Nicholas, Keen Street, Lismore, New South Wales |
| Enlistment date | 11 January 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 3rd Reinforcement |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 13 February 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
