| Regimental number | 19781 |
| Place of birth | South Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 67 Hope Street, Spotswood, Victoria |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Father, T E Bolton, 67 Hope Street, Spotswood, Victoria |
| Enlistment date | 28 July 1915 |
| Date of enlistment from Nominal Roll | 28 July 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 8, Battery 30 |
| AWM Embarkation Roll number | 13/36/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 3rd Divisional Ammunition Column |
| Fate | Returned to Australia 1 July 1919 |
