| Regimental number | 2378 |
| Place of birth | Tunbridge Wells England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Rosewood via Wagga Wagga, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Ellen Boulter, 44 Quill Lane, Lacey Road, Putney, London, SW, England |
| Enlistment date | 4 May 1916 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/72/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 30 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian Dermatological Hospital |
| Fate | Returned to Australia 24 July 1919 |
