| Regimental number | 1205 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Painter |
| Address | Tamworth, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Margaret Anne Potts, Peel Street, Tamworth, New South Wales |
| Previous military service | 13th Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
