| Regimental number | 4776 |
| Place of birth | Greensborough Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Greensborough, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, John Giles Poulter, Greensborough, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on |