| Regimental number | 11911 |
| Place of birth | Orrissa India |
| Religion | Church of England |
| Occupation | Shipping clerk |
| Address | Neutral Bay, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, John McLeod Bolton, 'Dritta', Harrison Street, Neutral Bay, New South Wales |
| Previous military service | A Army Medical Corps |
| Enlistment date | 11 January 1916 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 9, Section B |
| AWM Embarkation Roll number | 26/52/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 1 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Field Ambulance |
| Fate | Returned to Australia 19 October 1917 |
