| Regimental number | 480 |
| Place of birth | Hobart, Tasmania |
| Religion | Methodist |
| Occupation | Farm labourer |
| Address | 19 Melville Street, Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 32 |
| Height | 5' 6.5" |
| Weight | 140 lbs |
| Next of kin | Mother, Mrs Ann Elizabeth Poultney, 19 Melville Street, Hobart, Tasmania |
| Previous military service | Nil |
| Enlistment date | |
| Place of enlistment | Pontville, Tasmania |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, D Company |
| AWM Embarkation Roll number | 23/29/1 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board Transport A2 Geelong on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Died of wounds |
| Miscellaneous details (Nominal Roll) | Date if death recorded incorrectly on Nominal Roll as 9 January 1919. |
| Age at death from cemetery records | 34 |
| Place of burial | Heilly Station Cemetery (Plot V, Row F, Grave No. 36), Mericourt-L'Abbe, France |
| Panel number, Roll of Honour, Australian War Memorial | 67 |
| Miscellaneous information from cemetery records | son of Mrs Ann POULTNEY; husband of Ellen POULTNEY, Kiah Lodge, Berridale, New South Wales. Native of Hobart, Tasmania |
| Other details |
War service: Egypt, Gallipoli, Western Front Medals: 1914-15 Star, British War Medal, Victory Medal |