| Regimental number | 3582 |
| Place of birth | Clarendon South Australia |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Clarendon, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Gertrude Potter, Clarendon, South Australia |
| Enlistment date | 27 August 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/44/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 12 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 16 June 1919 |
