| Regimental number | 15456 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Ironmonger |
| Address | East Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs C Bolton, 14 George Street, Ballsall Heath, Birmingham, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
