| Regimental number | 17575 |
| Place of birth | Haslingden England |
| Religion | Methodist |
| Occupation | Bank clerk |
| Address | 'Haslingden', West Street, Kogarah, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Emma Bolton, 'Haslingden', West Street, Kogarah, Sydney, New South Wales |
| Previous military service | 9th Australian Army Medical Corps |
| Enlistment date | 29 May 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Field Ambulance, 28th Reinforcement |
| AWM Embarkation Roll number | 26/39/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A17 Port Lincoln on 11 June 1917 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 8th Sanitation Section |
| Fate | Returned to Australia 26 July 1919 |
