| Regimental number | 610 |
| Religion | Methodist |
| Occupation | Carpenter |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs H.H. Bolstad, 189 Main Street, Palmerston, North NZ |
| Enlistment date | |
| Rank on enlistment | Lance Corporal |
| Unit name | 7th Light Horse Regiment, 10th Reinforcement |
| AWM Embarkation Roll number | 10/12/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A32 Themistocles on |
| Miscellaneous details (Nominal Roll) | see other |