| Regimental number | 2688 |
| Place of birth | Tumut New South Wales |
| Religion | Roman Catholic |
| Occupation | Chief steward |
| Address | Geraldton, Western Australia |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs A. Potter, Henley Beach Road, Torrensville, South Australia |
| Enlistment date | 25 September 1914 |
| Rank on enlistment | Private |
| Unit name | Depot Unit of Supply 2, Army Service Corps 11 |
| AWM Embarkation Roll number | 25/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 22 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Depot Unit of Supply |
| Fate | Returned to Australia 15 October 1915 |
