| Regimental number | 705 |
| Place of birth | Port Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Bricklayer's labourer |
| Address | 2 Tongue Street, Yarraville, Victoria |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs B.E.E. Bolan, 72 Francis Street, Yarraville, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 2nd Reinforcement |
| AWM Embarkation Roll number | 10/9/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A13 Katuna on |
| Regimental number from Nominal Roll | 59475 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th General Service Reinforcements |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
