| Regimental number | 612 |
| Date of birth | |
| Place of birth | Blackall Queensland |
| Religion | Church of England |
| Occupation | Patternmaker |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, George Godfrey Boulton, 7 Orchard Street, Lincoln, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 1st Reinforcement |
| AWM Embarkation Roll number | 10/7/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A42 Boorara on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Promotions |
2nd Lieutenant Unit: LH2 Promotion date: Lieutenant Unit: LH2 Promotion date: |
| Fate | Returned to Australia |