| Regimental number | 3117 |
| Religion | Church of England |
| Occupation | Stock rider |
| Address | Surry Hills, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Aunt, Mrs Gertrude Bolton, 37 John Street, Woodlah, New South Wales |
| Enlistment date | 18 April 1917 |
| Rank on enlistment | Private |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 9 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | a Camel Field Amb |
| Fate | Returned to Australia 24 July 1919 |
