| Place of birth | Chesham England |
| Religion | Church of England |
| Occupation | Chaplain |
| Address | Malcolm, South Toowong, Queensland |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Father, Rev C E Boultbee, Vicar, Chesham, Bucks, England |
| Enlistment date | 5 February 1917 |
| Date of enlistment from Nominal Roll | 2 February 1917 |
| Rank on enlistment | Chaplain (4th Class) |
| Unit name | Chaplains' Corps |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Chaplain |
| Unit from Nominal Roll | Chaplains' Department |
| Fate | Discharged 16 June 1917 |
| Miscellaneous details | Appointment for voyage only. |