| Regimental number | 91 |
| Religion | Church of England |
| Occupation | Commercial traveller |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Father, John Poutt, Blumberg, South Australia |
| Enlistment date | |
| Rank on enlistment | Corporal |
| Unit name | 9th Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A26 Armadale on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |