| Regimental number | 1292 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Sydney GPO, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Jane Potter, 31 Cavendish Grove, Wandsworth Road, Wandsworth, London, England |
| Enlistment date | 23 March 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, D Company |
| AWM Embarkation Roll number | 23/37/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 26 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 6 January 1919 |
