| 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 | 12 December 1915 |
| Date of enlistment from Nominal Roll | 13 December 1915 |
| 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 21 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia 4 July 1919 |
