| Regimental number | 14830 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Salesman |
| Address | East Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, F S Booth, 17 Brunswick, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Returned to Australia |