| Regimental number | 1 |
| Religion | Church of England |
| Occupation | Soldier |
| Address | South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Mary Potter, 7 Remount Depot, Sturt Street, South Melbourne, Victoria |
| Previous military service | AASC Perm Services |
| Enlistment date | |
| Rank on enlistment | Warrant Officer (Class I) |
| Unit name | Australian Remount Unit India |
| AWM Embarkation Roll number | 28/4/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Chindwarra on |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board SS Chindwarra on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Gracchus on |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board SS Shirala on |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Waitoma on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Mahai on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
