| Regimental number | 5304 |
| Place of birth | Clunes, Victoria |
| Religion | Methodist |
| Occupation | Butcher |
| Address | Rupanyup, Victoria |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Francis M Bolt, Templestowe, Victoria |
| Enlistment date | 4 April 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 11 December 1918 |
