| Regimental number | 61266 |
| Place of birth | Richmond Victoria |
| Religion | Church of England |
| Occupation | Dental mechanic |
| Address | 79 Baker Street, North Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, J Poulter, 79 Baker Street, North Richmond, Victoria |
| Enlistment date | 19 March 1918 |
| Rank on enlistment | Private |
| Unit name | 10th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah on 31 August 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 23 July 1919 |
