| Regimental number | 5321 |
| Religion | Church of England |
| Occupation | Secretary |
| Address | Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, M Bolton, 61 Forest Road, Heytonshire, Essex, England |
| Enlistment date | |
| Rank on enlistment | Warrant Officer |
| Unit name | AMC Convalescent Depot |
| AWM Embarkation Roll number | 26/84/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | AIF Headquarters |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
