| Regimental number | 641 |
| Place of birth | Talbot Victoria |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Grong Grong, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, W Poulter, Grong Grong, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, B Company |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Ceramic on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 2nd Australian Auxiliary Hospital |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Date of death |