| Date of birth | 25 February 1896 |
| Place of birth | Semaphore, South Australia |
| School | Prince Alfred College, Adelaide, South Australia |
| Religion | Methodist |
| Occupation | Medical officer |
| Address | Semaphore, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Dr P Bollen, Semaphore, South Australia |
| Enlistment date | 26 November 1918 |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
| Other details | Served as Medical Officer on board HMAT 'Boonah' and at Parkhouse Camp, England. |
