| Regimental number | 2216 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 60 Campbell Road, Upper Hawthorn, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs C Bolton, 60 Campbell Road, Upper Hawthorn, Victoria |
| Enlistment date | 12 September 1914 |
| Rank on enlistment | Corporal |
| Unit name | Australian Reserve Park 1, Company 10 |
| AWM Embarkation Roll number | 25/34/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A26 Armadale on 20 October 1914 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 26th Company, Australian Army Service Corps |
| Fate | Returned to Australia 24 September 1918 |